Cousineau, Anthony James

Cousineau, Anthony James is an individual health care provider with primary practice located at 1821 S Webster Ave , Green Bay WI 54301-2253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Cousineau, Anthony James can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
1821 S Webster Ave Green Bay WI 54301-2253
Phone: (920) 496-4700
Fax: (920) 436-1319
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 34459 Wisconsin

Profile Details

NPI number 1720004880
LBN Legal business name Cousineau, Anthony James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 23rd, 2008 - about 16 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 1720004880 NPPES
Wisconsin MEDICAID 31929900

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