Moliterno, Courtney
Moliterno, Courtney is an individual health care provider with primary practice located at 8470 Main St , Birch Run MI 48415-9704. She recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Moliterno, Courtney can be contacted via phone (989) 624-2020.Contact Information
Primary practice address
8470 Main St
Birch Run MI 48415-9704
Phone: (989) 624-2020
Fax: (989) 624-6257
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 4901004706 | Michigan |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 4901004706 | Michigan |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | 4901004706 | Michigan |
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 4901004706 | Michigan |
Profile Details
NPI number | 1952663924 |
---|---|
LBN Legal business name | Moliterno, Courtney |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2012 |
Last updated | Sep 17th, 2013 - about 11 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 | 1952663924 | NPPES |
Other | 900G30405 | BCBS | |
Other | 19526639 | BCBS |
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