Cousin, Sydney Louis

Cousin, Sydney Louis is an individual health care provider with primary practice located at 400 S 43Rd St Rm 3H-1-053, Renton WA 98055-5714. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Cousin, Sydney Louis can be contacted via phone (425) 228-3440.

Contact Information

Primary practice address
400 S 43Rd St Rm 3H-1-053 Renton WA 98055-5714
Phone: (425) 228-3440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD60217641 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60217641 Washington

Profile Details

NPI number 1497954176
LBN Legal business name Cousin, Sydney Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Feb 24th, 2017 - about 7 years 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 1497954176 NPPES
Washington Other 0279491 L&I
Washington MEDICAID 2012615 L&I

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