Cusick, J Douglas

Cusick, J Douglas is an individual health care provider with primary practice located at 4601 College Blvd Suite 222, Leawood KS 66211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Cusick, J Douglas can be contacted via phone (913) 661-0202.

Contact Information

Primary practice address
4601 College Blvd Suite 222 Leawood KS 66211
Phone: (913) 661-0202
Fax: (913) 661-0584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 0423923 Kansas
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD100181 Missouri

Profile Details

NPI number 1013027374
LBN Legal business name Cusick, J Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 15th, 2008 - about 18 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 1013027374 NPPES
Missouri Other 21177020 BLUE SHIELD IND #
Missouri MEDICAID 100458460A BLUE SHIELD IND #

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