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
Phone: (309) 344-4255
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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 16 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 | 1255454278 | NPPES |
Illinois | Other | 041-282203 | STATE LICENSE |
Illinois | Other | 370984175 | STATE LICENSE |
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