Lacourse, Carolyn

Lacourse, Carolyn is an sole proprietor health care provider with primary practice located at 7866 Hidale Dr , Pinckney MI 48169-9239. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Lacourse, Carolyn can be contacted via phone (810) 824-8995.

Contact Information

Primary practice address
7866 Hidale Dr Pinckney MI 48169-9239
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 4704151640 Michigan

Profile Details

NPI number 1518915578
LBN Legal business name Lacourse, Carolyn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Oct 2nd, 2007 - about 18 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 1518915578 NPPES
Michigan MEDICAID 30001452

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