Mr. Justin Champagne, PA-C
Physician Assistant, Medical in Waterbury, Connecticut
1073697108- Practice location
- 134 Grandview Ave, Waterbury, CT 06708-2507
- Phone
- 203-756-8911
- Fax
- 203-574-0548
- Last updated
- August 26, 2026
Justin Champagne is a Physician Assistant, Medical based in Waterbury, CT. Justin Champagne practices in Waterbury, CT and has the professional credentials of PA-C. The NPI Number for Justin Champagne is 1073697108 and holds a License No. 001721 (CT). The current practice location address for Justin Champagne is 134 Grandview Ave, Waterbury, CT 06708-2507 and can be reached out via phone at 203-756-8911 and via fax at 203-574-0548.
Provider Profile Details
- NPI Number
- 1073697108
- Provider Name
- Justin Champagne
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 134 Grandview Ave, Waterbury, CT 06708-2507
- Phone Number
- 203-756-8911
- Fax Number
- 203-574-0548
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 25, 2006
- Last Update Date
- August 26, 2026
- Certification Date
- August 26, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 134 Grandview Ave
Waterbury, CT 06708-2507 - City
- Waterbury
- State
- Connecticut
- Zip
- 06708-2507
- Phone Number
- 203-756-8911
- Fax Number
- 203-574-0548
Provider Business Mailing Address Details
- Address
- 134 Grandview Ave
Waterbury, CT 06708-2507 - City
- Waterbury
- State
- CT
- Zip
- 06708-2507
- Phone Number
- 203-756-8911
- Fax Number
- 203-574-0548
License Information
- License Number (1)
- 001721
- License State (1)
- CT
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X · Primary
- License Number (2)
- 001721
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Justin Champagne, PA-C?
The NPI number of Mr. Justin Champagne, PA-C is 1073697108. It was assigned on October 25, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Justin Champagne, PA-C?
Mr. Justin Champagne, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 001721.
Where does Mr. Justin Champagne, PA-C practice?
The practice location is 134 Grandview Ave, Waterbury, CT 06708-2507. The office can be reached at 203-756-8911 (phone) or 203-574-0548 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073697108 directly on the NPPES registry website.