PHILLIP D. COURTNEY NPI 1497028526

NPI Information

NPI: 1497028526
Provider Name: PHILLIP D. COURTNEY
Classification: Contractor - 171WH0202X
Entity Type: Individual

Specialization: Home Modifications

Address:
18708 SUE TAWN DRIVE
CHUGIAK, AK
ZIP 99567
Phone: (907) 688-0731
Get Directions

Phillip D. Courtney is a home modifications contractor in Chugiak, AK. Phillip D. Courtney NPI is 1497028526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

18708 SUE TAWN DRIVE
CHUGIAK, AK
ZIP 99567
Phone: (907) 688-0731

The enumeration date for this NPI number is 2/21/2012 and was last updated on 2/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171W00000X	Contractor				No
2	171WV0202X	Contractor	Vehicle Modifications			No
3	171WH0202X	Contractor	Home Modifications	24301	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	EM4435	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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