Courtney, Carla S

Courtney, Carla S is an sole proprietor health care provider with primary practice located at 409 8Th Ave , Durant IA 52747. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Courtney, Carla S can be contacted via phone (563) 785-4497.

Contact Information

Primary practice address
409 8Th Ave Durant IA 52747
Fax: (563) 785-4607
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2013 Iowa

Profile Details

NPI number 1801845581
LBN Legal business name Courtney, Carla S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2006
Last updated Oct 9th, 2013 - about 13 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 1801845581 NPPES
Iowa MEDICAID 1286781

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