Cousins, Jody Ann
Cousins, Jody Ann is an individual health care provider with primary practice located at 1213 24Th Street Suite #100, Anacortes WA 98221-2559. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Cousins, Jody Ann can be contacted via phone (360) 293-4655.Contact Information
Primary practice address
1213 24Th Street Suite #100
Anacortes WA 98221-2559
Phone: (360) 293-4655
Fax: (360) 588-1041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 7939A | Wyoming |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD046860 | District of Columbia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 57012332 | Ohio |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0086550 | Maryland |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD60132209 | Washington |
Profile Details
| NPI number | 1467578799 |
|---|---|
| LBN Legal business name | Cousins, Jody Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Mar 27th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467578799 | NPPES |
| Washington | MEDICAID | 2007259 |
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