Moller, Courtney G

Moller, Courtney G is an individual health care provider with primary practice located at 950 Campbell Ave Gec240, West Haven CT 06516-2770. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Moller, Courtney G can be contacted via phone (203) 932-5711.

Contact Information

Primary practice address
950 Campbell Ave Gec240 West Haven CT 06516-2770
Phone: (203) 932-5711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1043467855
LBN Legal business name Moller, Courtney G
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2008
Last updated Oct 12th, 2011 - about 15 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 1043467855 NPPES
Massachusetts Other PA3371 LICENSE
Massachusetts Other 002124 LICENSE

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