Cushing Ragon, Colleen Susanne

Cushing Ragon, Colleen Susanne is an individual health care provider with primary practice located at 8940 N Wood Sage Rd , Peoria IL 61615-7822. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Cushing Ragon, Colleen Susanne can be contacted via phone (309) 243-3000.

Contact Information

Primary practice address
8940 N Wood Sage Rd Peoria IL 61615-7822
Phone: (309) 243-3000
Fax: (309) 243-3274
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 209.008764 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.013583 Illinois

Profile Details

NPI number 1073804217
LBN Legal business name Cushing Ragon, Colleen Susanne
Credentials APN, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2011
Last updated Nov 24th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073804217 NPPES
Illinois Other 209.013583 LICENSE

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