Cushman, Robert Douglas

Cushman, Robert Douglas is an individual health care provider with primary practice located at 1100 Michigan Ave , Marysville MI 48040-2112. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is his primary health care specialty. Cushman, Robert Douglas can be contacted via phone (810) 364-9900.

Contact Information

Primary practice address
1100 Michigan Ave Marysville MI 48040-2112
Phone: (810) 364-9900
Fax: (810) 364-9901
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901009408 Michigan
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 2901009408 Michigan

Profile Details

NPI number 1821102872
LBN Legal business name Cushman, Robert Douglas
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1821102872 NPPES
Michigan MEDICAID 4020351

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