Laczko, Courtney N
Laczko, Courtney N is an individual health care provider with primary practice located at 3535 Pentagon Blvd , Beavercreek OH 45431-1705. 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. Laczko, Courtney N can be contacted via phone (937) 702-4503.Contact Information
Primary practice address
3535 Pentagon Blvd
Beavercreek OH 45431-1705
Phone: (937) 702-4503
Fax: (937) 702-4129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA059099 | Pennsylvania |
Profile Details
| NPI number | 1790210532 |
|---|---|
| LBN Legal business name | Laczko, Courtney N |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2017 |
| Last updated | Dec 21st, 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.
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