Graves, Courtnie Clark

Graves, Courtnie Clark is an individual health care provider with primary practice located at 3311 Prescott Rd Ste 202 , Alexandria LA 71301-3983. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as her primary health care specialty. Graves, Courtnie Clark can be contacted via phone (318) 442-0106.

Contact Information

Primary practice address
3311 Prescott Rd Ste 202 Alexandria LA 71301-3983
Phone: (318) 442-0106
Fax: (318) 448-8918
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X PEF.200085 Louisiana

Profile Details

NPI number 1588155006
LBN Legal business name Graves, Courtnie Clark
Credentials Certified Clinical Perfusionist (CCP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2018
Last updated May 21st, 2018 - about 6 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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