Short-Prudhomme, Courtney Michelle
Short-Prudhomme, Courtney Michelle is an individual health care provider with primary practice located at 751 Bayou Pines East Dr Ste C , Lake Charles LA 70601-7196. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Short-Prudhomme, Courtney Michelle can be contacted via phone (337) 433-3292.Contact Information
Primary practice address
751 Bayou Pines East Dr Ste C
Lake Charles LA 70601-7196
Phone: (337) 433-3292
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1215559794 |
|---|---|
| LBN Legal business name | Short-Prudhomme, Courtney Michelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2020 |
| Last updated | May 7th, 2020 - about 5 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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