Anderson, Courtney Allison
Anderson, Courtney Allison is an individual health care provider with primary practice located at 1903 S 6Th St Ste 4 , Brainerd MN 56401-4599. She recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is her primary health care specialty. Anderson, Courtney Allison can be contacted via phone (218) 829-1728.Contact Information
Primary practice address
1903 S 6Th St Ste 4
Brainerd MN 56401-4599
Phone: (218) 829-1728
Fax: (218) 829-1729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D11673 | Minnesota |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 6669 | Wisconsin |
Profile Details
| NPI number | 1568678985 |
|---|---|
| LBN Legal business name | Anderson, Courtney Allison |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2007 |
| Last updated | Mar 5th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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