Dewey, Courtney Amanda
Dewey, Courtney Amanda is an individual health care provider with primary practice located at 1000 Wall St , Ann Arbor MI 48105-1912. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Dewey, Courtney Amanda can be contacted via phone (734) 764-4190.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901004281 | Michigan |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5381 | Ohio |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 5381 T2292 | Ohio |
Profile Details
| NPI number | 1346285210 |
|---|---|
| LBN Legal business name | Dewey, Courtney Amanda |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Aug 19th, 2010 - about 14 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 | 1346285210 | NPPES |
| Michigan | MEDICAID | 4878355 | |
| Michigan | MEDICAID | 2428813 |
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