Cousins, Dawn Marie

Cousins, Dawn Marie is an individual health care provider with primary practice located at 180 S Main St , Canton IL 61520-2608. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cousins, Dawn Marie can be contacted via phone (309) 647-0201.

Contact Information

Primary practice address
180 S Main St Canton IL 61520-2608
Phone: (309) 647-0201
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 309009925 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 277000149 Illinois

Profile Details

NPI number 1629420229
LBN Legal business name Cousins, Dawn Marie
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2016
Last updated Nov 26th, 2021 - about 3 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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