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
Fax: (405) 265-2479
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952451460 NPPES
Oklahoma MEDICAID 200062760A

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