Provider Demographics
NPI:1972871424
Name:WEBB, COURTNEY KAY (DC)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:KAY
Last Name:WEBB
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1358A CHERRY BOTTOM RD
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6771
Mailing Address - Country:US
Mailing Address - Phone:614-471-2225
Mailing Address - Fax:614-471-4260
Practice Address - Street 1:1358A CHERRY BOTTOM RD
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-6771
Practice Address - Country:US
Practice Address - Phone:614-471-2225
Practice Address - Fax:614-471-4260
Is Sole Proprietor?:No
Enumeration Date:2011-12-12
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012006111N00000X
OH4319111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH244111Medicare PIN