Dobbins, Kourtney

Dobbins, Kourtney is an individual health care provider with primary practice located at 3745 Mayfield Rd Apt 207B , Cleveland Heights OH 44121-1752. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Dobbins, Kourtney can be contacted via phone (216) 972-3158.

Contact Information

Primary practice address
3745 Mayfield Rd Apt 207B Cleveland Heights OH 44121-1752
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1235704008
LBN Legal business name Dobbins, Kourtney
Credentials CDCA
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2021
Last updated May 25th, 2021 - about 3 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 1235704008 NPPES
Ohio MEDICAID 17500000X

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