Cusatis, Michele A
Cusatis, Michele A is an individual health care provider with primary practice located at 1501 Airport Rd , Waukesha WI 53188-2461. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Cusatis, Michele A can be contacted via phone (262) 548-7957.Contact Information
Primary practice address
1501 Airport Rd
Waukesha WI 53188-2461
Phone: (262) 548-7957
Fax: (262) 896-8046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 812-057 | Wisconsin |
Profile Details
| NPI number | 1114175262 |
|---|---|
| LBN Legal business name | Cusatis, Michele A |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2008 |
| Last updated | Sep 3rd, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114175262 | NPPES |
| Other | 084286001-WC | MEDICARE | |
| MEDICAID | 39019400 | MEDICARE |
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