Grodie, Courtney C

Grodie, Courtney C is an individual health care provider with primary practice located at 12349 De Paul Dr , Bridgeton MO 63044-2512. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Grodie, Courtney C can be contacted via phone (314) 291-7900.

Contact Information

Primary practice address
12349 De Paul Dr Bridgeton MO 63044-2512
Phone: (314) 291-7900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2013016467 Missouri

Profile Details

NPI number 1437590437
LBN Legal business name Grodie, Courtney C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2013
Last updated Oct 22nd, 2020 - about 4 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 1437590437 NPPES
Missouri Other 2013016467 LICENSE #

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