Cusick, Alice Marie
Cusick, Alice Marie is an individual health care provider with primary practice located at 1500 E Medical Center Drive B1 Floor Cancer Recp B, Ann Arbor MI 48109-5911. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is her primary health care specialty. Cusick, Alice Marie can be contacted via phone (734) 647-8901.Contact Information
Primary practice address
1500 E Medical Center Drive B1 Floor Cancer Recp B
Ann Arbor MI 48109-5911
Phone: (734) 647-8901
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301107789 | Michigan |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | MD426993 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 4301107789 | Michigan |
Profile Details
| NPI number | 1407824154 |
|---|---|
| LBN Legal business name | Cusick, Alice Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Dec 7th, 2018 - 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 | 1407824154 | NPPES |
| Pennsylvania | MEDICAID | 101381011 |
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