Bolluyt, Courtney N

Bolluyt, Courtney N is an individual health care provider with primary practice located at 2700 23Rd St Ste C , Spirit Lake IA 51360-1158. 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. Bolluyt, Courtney N can be contacted via phone (605) 330-9619.

Contact Information

Primary practice address
2700 23Rd St Ste C Spirit Lake IA 51360-1158
Phone: (605) 330-9619
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001337 Iowa

Profile Details

NPI number 1215982780
LBN Legal business name Bolluyt, Courtney N
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Mar 15th, 2022 - 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.

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