Dierkes, Courtney Ann
Dierkes, Courtney Ann is an individual health care provider with primary practice located at 530 S Maiden Ln , Joplin MO 64801-3084. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Dierkes, Courtney Ann can be contacted via phone (417) 782-6200.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 2018043179 | Missouri |
Profile Details
| NPI number | 1720685027 |
|---|---|
| LBN Legal business name | Dierkes, Courtney Ann |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2020 |
| Last updated | Nov 27th, 2023 - about 2 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 | 1720685027 | NPPES |
| Other | AMS202200 | ASPEN STM |
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