Pellow, Courtney Alisha

Pellow, Courtney Alisha is an individual health care provider with primary practice located at 2201 Ironwood Pl , Coeur D Alene ID 83814-2670. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Pellow, Courtney Alisha can be contacted via phone (208) 771-3707.

Contact Information

Primary practice address
2201 Ironwood Pl Coeur D Alene ID 83814-2670
Phone: (208) 771-3707
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Other Service Providers / Peer Specialist 175T00000X Idaho

Profile Details

NPI number 1801372529
LBN Legal business name Pellow, Courtney Alisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2018
Last updated Jul 16th, 2018 - 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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