Watson, Courtney A
Watson, Courtney A is an individual health care provider with primary practice located at 36622 Five Mile Rd Ste 101 , Livonia MI 48154-1900. 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. Watson, Courtney A can be contacted via phone (734) 542-0200.Contact Information
Primary practice address
36622 Five Mile Rd Ste 101
Livonia MI 48154-1900
Phone: (734) 542-0200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601006492 | Michigan |
Profile Details
| NPI number | 1346590387 |
|---|---|
| LBN Legal business name | Watson, Courtney A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2012 |
| Last updated | Jun 20th, 2024 - about 2 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 | 1346590387 | NPPES |
| Other | 12454283 | CAQH |
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