Mccourt, Joan M
Mccourt, Joan M is an individual health care provider with primary practice located at 233 Clarkson Rd , Ellisville MO 63011-2219. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mccourt, Joan M can be contacted via phone (636) 256-8644.Contact Information
Primary practice address
233 Clarkson Rd
Ellisville MO 63011-2219
Phone: (636) 256-8644
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 069564 | Missouri |
Profile Details
| NPI number | 1740626563 |
|---|---|
| LBN Legal business name | Mccourt, Joan M |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2013 |
| Last updated | Jul 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740626563 | NPPES |
| Missouri | Other | 069564 | LICENSE |
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