Courtright, Brian John

Courtright, Brian John is an individual health care provider with primary practice located at 3153 N Windsong Dr , Prescott Valley AZ 86314-2240. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Courtright, Brian John can be contacted via phone (928) 771-9939.

Contact Information

Primary practice address
3153 N Windsong Dr Prescott Valley AZ 86314-2240
Phone: (928) 771-9939
Fax: (928) 772-3972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 909 Arizona

Profile Details

NPI number 1861471914
LBN Legal business name Courtright, Brian John
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Mar 30th, 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 1861471914 NPPES
Arizona Other 410049678 RAILROAD MEDICARE #
Arizona Other 24871 RAILROAD MEDICARE #
Arizona MEDICAID 757768 RAILROAD MEDICARE #
Arizona Other 4844460001 RAILROAD MEDICARE #
Arizona Other AZ0903430 RAILROAD MEDICARE #

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