National Provider Identifier Database

CHAMPLAIN SPORTS MEDICINE PC
Neuromusculoskeletal Medicine, Sports Medicine

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation.


Contact Information

CHAMPLAIN SPORTS MEDICINE PC
67 LINCOLN ST
ESSEX JUNCTION, VT05452-3235
Phone: 802-878-1003
Fax: 802-878-9966
Website:
Specialty Taxonomy Code
* Neuromusculoskeletal Medicine, Sports Medicine 204C00000X

* Indicates primary specialty

NPI Profile & details for CHAMPLAIN SPORTS MEDICINE PC

NPI Number 1518106491
Legal business name
LBN
CHAMPLAIN SPORTS MEDICINE PC
Authorized official JOHN JOHANSSON - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 02/17/2009
Last updated 06/13/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • VT License #: 0320000304

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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