Ford, Courtney

Ford, Courtney is an individual health care provider with primary practice located at 5900 Portage Rd , Portage MI 49002-1774. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ford, Courtney can be contacted via phone (269) 806-9679.

Contact Information

Primary practice address
5900 Portage Rd Portage MI 49002-1774
Phone: (269) 806-9679
Fax: (269) 344-2809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301015673 Michigan

Profile Details

NPI number 1245785369
LBN Legal business name Ford, Courtney
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2016
Last updated Jun 19th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245785369 NPPES
Michigan Other 6301015673 LICENSE #

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