Individual
NICHOLAS ALAN CHAMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-3191
(317) 988-5357
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003469A
IN
Other
Enumeration date
12/01/2021
Last updated
05/11/2023
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