Courtney, Phillip D.

Courtney, Phillip D. is an sole proprietor health care provider with primary practice located at 18708 Sue Tawn Drive , Chugiak AK 99567. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Contractor, Other Service Providers / Home Modifications, Other Service Providers / Vehicle Modifications. Other Service Providers / Home Modifications is his primary health care specialty. Courtney, Phillip D. can be contacted via phone (907) 688-0731.

Contact Information

Primary practice address
18708 Sue Tawn Drive Chugiak AK 99567
Phone: (907) 688-0731
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X
Other Service Providers / Home Modifications 171WH0202X 24301 Alaska
Other Service Providers / Vehicle Modifications 171WV0202X

Profile Details

NPI number 1497028526
LBN Legal business name Courtney, Phillip D.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2012
Last updated Feb 21st, 2012 - about 14 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 1497028526 NPPES
Alaska MEDICAID EM4435

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