Courtney, Mary Catherine

Courtney, Mary Catherine is an individual health care provider with primary practice located at 2323 Windish Dr , Galesburg IL 61401-9780. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Case Management. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Courtney, Mary Catherine can be contacted via phone (309) 344-4255.

Contact Information

Primary practice address
2323 Windish Dr Galesburg IL 61401-9780
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 041-282203 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 041-282203 Illinois
Nursing Service Providers / Case Management 163WC0400X 041-282203 Illinois

Profile Details

NPI number 1255454278
LBN Legal business name Courtney, Mary Catherine
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Apr 14th, 2009 - 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 1255454278 NPPES
Illinois Other 041-282203 STATE LICENSE
Illinois Other 370984175 STATE LICENSE

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