Cousins, Todd B

Cousins, Todd B is an individual health care provider with primary practice located at 132 Abigail Ln , Port Matilda PA 16870-7153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Cousins, Todd B can be contacted via phone (814) 272-5011.

Contact Information

Primary practice address
132 Abigail Ln Port Matilda PA 16870-7153
Fax: (814) 272-6531
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X OS006836L Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X OS006836L Pennsylvania

Profile Details

NPI number 1447300520
LBN Legal business name Cousins, Todd B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Aug 31st, 2020 - about 4 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 1447300520 NPPES
Pennsylvania MEDICAID 01170201

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