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Contact Information

COLLEEN COURTNEY, PA-C
12500 AURORA DR
PLEASANT PRAIRIE, WI53158-1227
 Phone: 262-857-5400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for COLLEEN COURTNEY · (Female)

NPI Number 1033742580
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/12/2020
Last updated 02/01/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 5156-023
  • WI Medicaid 100103632
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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