Kassow, Courtney Leah
Kassow, Courtney Leah is an individual health care provider with primary practice located at 209 Martin Luther King Jr Way , Tacoma WA 98405-4265. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Kassow, Courtney Leah can be contacted via phone (253) 596-3300.Contact Information
Primary practice address
209 Martin Luther King Jr Way
Tacoma WA 98405-4265
Phone: (253) 596-3300
Fax: (253) 596-3301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA06311 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2053 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA60874684 | Washington |
Profile Details
| NPI number | 1669515623 |
|---|---|
| LBN Legal business name | Kassow, Courtney Leah |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Apr 22nd, 2021 - about 3 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 | 1669515623 | NPPES |
| Texas | MEDICAID | 305018906 |
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