Richter, Courtney B
Richter, Courtney B is an individual health care provider with primary practice located at 13111 N Port Washington Rd , Mequon WI 53097. 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. Richter, Courtney B can be contacted via phone (414) 290-6720.Contact Information
Primary practice address
13111 N Port Washington Rd
Mequon WI 53097
Phone: (414) 290-6720
Fax: (414) 290-6755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA750 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2069 | Wisconsin |
Profile Details
| NPI number | 1447348545 |
|---|---|
| LBN Legal business name | Richter, Courtney B |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Aug 22nd, 2022 - about 3 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 | 1447348545 | NPPES |
| Wisconsin | MEDICAID | 1447348545 | |
| Wisconsin | MEDICAID | 808128200 |
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