Tadic, Courtney

Tadic, Courtney is an individual health care provider with primary practice located at 1138 Lexington Rd Ste 290 , Georgetown KY 40324-9672. 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. Tadic, Courtney can be contacted via phone (502) 863-0721.

Contact Information

Primary practice address
1138 Lexington Rd Ste 290 Georgetown KY 40324-9672
Phone: (502) 863-0721
Fax: (502) 863-6104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2787 Kentucky

Profile Details

NPI number 1568041382
LBN Legal business name Tadic, Courtney
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2021
Last updated Jun 10th, 2024 - about 6 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568041382 NPPES
Kentucky MEDICAID 7100733660

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