Dr. Edward Champoux
Pediatrician Internist - Allergy & Immunology
5955 Zeamer Ave
Jber
, Alaska 99506-3702
Dr. Edward Champoux
Pediatrician Internist - Allergy & Immunology
5955 Zeamer Ave
Jber
, Alaska 99506-3702
(907) 580-2004
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About
Features
Specialties
- Internist - Allergy & Immunology
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Edward Champoux
- 5955 Zeamer Ave
- Jber, AK
- Zip : 99506-3702
- Fax : (907) 580-2004
- Phone : (907) 580-2070
Second Address
- Dr. Edward Champoux
- 5955 Zeamer Ave
- Jber, AK
- Zip : 99506-3702
- Fax : (907) 580-2004
- Phone : (907) 580-2070
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | 01059883A | IN |
| N | 208000000X | Pediatrician | 01059883A | IN |
National Provider Identifier
| NPI | 1851387724 |
|---|---|
| Provider Name | Dr. Edward Champoux |
| First Address | Jber, AK 99506-3702 |
| Second Address | Jber, AK 99506-3702 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2005 |
| Last Update Date | 04/09/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.