Mouillesseaux, Cortney Lynn
Mouillesseaux, Cortney Lynn is an sole proprietor health care provider with primary practice located at 270 Horizon Dr , Raleigh NC 27615-4922. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Mouillesseaux, Cortney Lynn can be contacted via phone (919) 845-0623.Contact Information
Primary practice address
270 Horizon Dr
Raleigh NC 27615-4922
Phone: (919) 845-0623
Fax: (919) 488-1716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 201101853 | North Carolina |
Profile Details
| NPI number | 1356532691 |
|---|---|
| LBN Legal business name | Mouillesseaux, Cortney Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Aug 12th, 2015 - about 10 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 | 1356532691 | NPPES |
| North Carolina | MEDICAID | 5921418 |
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