Shires, Courtney Brooke
Shires, Courtney Brooke is an individual health care provider with primary practice located at 7945 Wolf River Blvd , Germantown TN 38138-1762. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Shires, Courtney Brooke can be contacted via phone (901) 683-0055.Contact Information
Primary practice address
7945 Wolf River Blvd
Germantown TN 38138-1762
Phone: (901) 683-0055
Fax: (901) 685-2969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 29339 | Mississippi |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 48308 | Tennessee |
Profile Details
| NPI number | 1609072842 |
|---|---|
| LBN Legal business name | Shires, Courtney Brooke |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2007 |
| Last updated | Sep 14th, 2021 - 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 | 1609072842 | NPPES |
| Arkansas | MEDICAID | 193392001 | |
| Arkansas | MEDICAID | 04088114 | |
| Arkansas | MEDICAID | 1529232 |
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