Cusack, John P

Cusack, John P is an individual health care provider with primary practice located at 3554 Promenade Pkwy Suite F, Lafayette IN 47909-8418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cusack, John P can be contacted via phone (765) 477-2200.

Contact Information

Primary practice address
3554 Promenade Pkwy Suite F Lafayette IN 47909-8418
Phone: (765) 477-2200
Fax: (765) 477-0277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01042414A Indiana

Profile Details

NPI number 1144298233
LBN Legal business name Cusack, John P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 22nd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144298233 NPPES
Indiana Other 000000348750 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 100461530 ANTHEM PROVIDER NUMBER

Popular Providers