Andrus, Courtney Freese
Andrus, Courtney Freese is an individual health care provider with primary practice located at 13001 N Outer 40 Rd Ste 310, Chesterfield MO 63017-5941. 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. Andrus, Courtney Freese can be contacted via phone (314) 454-6400.Contact Information
Primary practice address
13001 N Outer 40 Rd Ste 310
Chesterfield MO 63017-5941
Phone: (314) 454-6400
Fax: (314) 454-6401
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2013006724 | Missouri |
Profile Details
NPI number | 1821434176 |
---|---|
LBN Legal business name | Andrus, Courtney Freese |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 14th, 2013 |
Last updated | May 9th, 2024 - about last year |
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 | 1821434176 | NPPES |
Missouri | MEDICAID | 220039556 |
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