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Contact Information

CHAMPION'S COACHING PATIENT SUPPORT AND COMPLIANCE CENTER LLC
6520 W MOLTKE AVE
MILWAUKEE, WI53210-1316
 Phone: 414-502-9090
 Fax: 414-395-3947
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for CHAMPION'S COACHING PATIENT SUPPORT AND COMPLIANCE CENTER LLC

NPI # 1033498811
LBN Legal business name CHAMPION'S COACHING PATIENT SUPPORT AND COMPLIANCE CENTER LLC
Authorized official DEIDRA HALL - (OWNER/CERTIFIED COACH)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2011
Last updated 08/10/2011 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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