Cusi, Antonio

Cusi, Antonio is an individual health care provider with primary practice located at 200 Tarpon Trl , Jacksonville NC 28546-5287. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Cusi, Antonio can be contacted via phone (910) 938-1114.

Contact Information

Primary practice address
200 Tarpon Trl Jacksonville NC 28546-5287
Fax: (910) 938-1118
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 38035 North Carolina

Profile Details

NPI number 1487643151
LBN Legal business name Cusi, Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Apr 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487643151 NPPES
North Carolina MEDICAID 8926642

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