Converse, Courtney L

Converse, Courtney L is an individual health care provider with primary practice located at 535 S Burdick St Ste 256 , Kalamazoo MI 49007-6112. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Converse, Courtney L can be contacted via phone (269) 290-1901.

Contact Information

Primary practice address
535 S Burdick St Ste 256 Kalamazoo MI 49007-6112
Phone: (269) 290-1901
Fax: (269) 290-1913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601004349 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004349 Michigan

Profile Details

NPI number 1699743872
LBN Legal business name Converse, Courtney L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jun 1st, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699743872 NPPES
Michigan Other 1417961137 BCBS - BRONSON
Michigan MEDICAID 1699743872 BCBS - BRONSON

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