Loper, Courtney Lane
Loper, Courtney Lane is an individual health care provider with primary practice located at 1024 Mar Walt Dr , Fort Walton Beach FL 32547-6645. 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. Loper, Courtney Lane can be contacted via phone (850) 863-3148.Contact Information
Primary practice address
1024 Mar Walt Dr
Fort Walton Beach FL 32547-6645
Phone: (850) 863-3148
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 001001101 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1523 | Nevada |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9110566 | Florida |
Profile Details
NPI number | 1881870657 |
---|---|
LBN Legal business name | Loper, Courtney Lane |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 11th, 2008 |
Last updated | Oct 25th, 2017 - about 7 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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