Gearhart, Courtney Ann
Gearhart, Courtney Ann is an individual health care provider with primary practice located at 23050 West Rd Ste 120, Brownstown Twp MI 48183-1472. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gearhart, Courtney Ann can be contacted via phone (734) 671-1510.Contact Information
Primary practice address
23050 West Rd Ste 120
Brownstown Twp MI 48183-1472
Phone: (734) 671-1510
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601005870 | Michigan |
Profile Details
| NPI number | 1982911871 |
|---|---|
| LBN Legal business name | Gearhart, Courtney Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2010 |
| Last updated | Feb 22nd, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982911871 | NPPES |
| Michigan | Other | 0H28864 | BLUE CROSS |
| Michigan | Other | 1710315932 | BLUE CROSS |
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