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Contact Information

COURTNEY L DRAKE, PA
1521 GULL RD
KALAMAZOO, MI49048
 Phone: 269-226-4834
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for COURTNEY L DRAKE · (Female)

NPI Number 1568908960
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 01/10/2017
Last updated 07/08/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601008757
Hospital affiliation(s)
  • BORGESS MEDICAL CENTER - (Acute Care)
    1521 GULL ROAD
    KALAMAZOO, MI 49048
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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