Cusack, Patrick Micheal
Cusack, Patrick Micheal is an sole proprietor health care provider with primary practice located at 1324 W. Northmoor Rd. , Peoria IL 61614. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Cusack, Patrick Micheal can be contacted via phone (309) 693-3200.Contact Information
Primary practice address
1324 W. Northmoor Rd.
Peoria IL 61614
Phone: (309) 693-3200
Fax: (309) 693-2499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | Illinois |
Profile Details
| NPI number | 1073733275 |
|---|---|
| LBN Legal business name | Cusack, Patrick Micheal |
| Credentials | DMD,MSD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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