Individual
CHAMPION MATTHEW WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
85253 549 AVE, PIERCE, NE 68767-3506
(402) 992-3059
Mailing address
85253 549 AVE, PIERCE, NE 68767-3506
(402) 992-3059
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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