Housley, Courtney M
Housley, Courtney M is an sole proprietor health care provider with primary practice located at 416 S Mustang Rd Suite A, Yukon OK 73099-7314. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Housley, Courtney M can be contacted via phone (405) 265-3131.Contact Information
Primary practice address
416 S Mustang Rd Suite A
Yukon OK 73099-7314
Phone: (405) 265-3131
Fax: (405) 265-2479
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 5788 | Oklahoma |
Profile Details
NPI number | 1952451460 |
---|---|
LBN Legal business name | Housley, Courtney M |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 10th, 2007 |
Last updated | Jan 24th, 2013 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952451460 | NPPES |
Oklahoma | MEDICAID | 200062760A |
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