Dodrill, Courtney Suzanne

Dodrill, Courtney Suzanne is an individual health care provider with primary practice located at 1249 Suncrest Towne Centre , Morgantown WV 26505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Dodrill, Courtney Suzanne can be contacted via phone (304) 599-6353.

Contact Information

Primary practice address
1249 Suncrest Towne Centre Morgantown WV 26505
Phone: (304) 599-6353
Fax: (304) 598-3608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN84192 West Virginia

Profile Details

NPI number 1356603450
LBN Legal business name Dodrill, Courtney Suzanne
Credentials CNM, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2012
Last updated Oct 6th, 2014 - about 11 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 1356603450 NPPES
West Virginia MEDICAID 3810025477

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