Provider Demographics
NPI:1164556999
Name:CHAMPION HEALTH, LLC
Entity Type:Organization
Organization Name:CHAMPION HEALTH, LLC
Other - Org Name:CHAMPION CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COPRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-741-1000
Mailing Address - Street 1:759 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4201
Mailing Address - Country:US
Mailing Address - Phone:732-741-1000
Mailing Address - Fax:
Practice Address - Street 1:759 BROAD ST
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4201
Practice Address - Country:US
Practice Address - Phone:732-741-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty