Cusack, Jodi B

Cusack, Jodi B is an individual health care provider with primary practice located at 1150 Reservoir Ave Ste 201 , Cranston RI 02920. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cusack, Jodi B can be contacted via phone (401) 943-1300.

Contact Information

Primary practice address
1150 Reservoir Ave Ste 201 Cranston RI 02920
Phone: (401) 943-1300
Fax: (401) 228-7109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1306128251
LBN Legal business name Cusack, Jodi B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2011
Last updated Jun 29th, 2018 - 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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