Crider, Courtney Champagne
Crider, Courtney Champagne is an sole proprietor health care provider with primary practice located at 4800 Mexico Rd Ste 104 , Saint Peters MO 63376-1666. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Crider, Courtney Champagne can be contacted via phone (636) 204-6447.Contact Information
Primary practice address
4800 Mexico Rd Ste 104
Saint Peters MO 63376-1666
Phone: (636) 204-6447
Fax: (877) 349-7061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2015017799 | Missouri |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2019014137 | Missouri |
Profile Details
| NPI number | 1598146557 |
|---|---|
| LBN Legal business name | Crider, Courtney Champagne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2015 |
| Last updated | Jun 11th, 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.
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