Cushing, Kyle J
Cushing, Kyle J is an sole proprietor health care provider with primary practice located at 2823 Glenwood Ave , Rockford IL 61101-3542. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cushing, Kyle J can be contacted via phone (815) 968-5342.Contact Information
Primary practice address
2823 Glenwood Ave
Rockford IL 61101-3542
Phone: (815) 968-5342
Fax: (815) 968-4656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071-006072 | Illinois |
Profile Details
| NPI number | 1346259157 |
|---|---|
| LBN Legal business name | Cushing, Kyle J |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Mar 27th, 2019 - about 6 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 | 1346259157 | NPPES |
| Illinois | Other | 0010126129 | BLUE CROSS/BLUE SHIELD |
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