Cusick, Therese Elizabeth
Cusick, Therese Elizabeth is an individual health care provider with primary practice located at 551 N Hillside St Ste 201 , Wichita KS 67214-4923. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Cusick, Therese Elizabeth can be contacted via phone (316) 263-0296.Contact Information
Primary practice address
551 N Hillside St Ste 201
Wichita KS 67214-4923
Phone: (316) 263-0296
Fax: (316) 263-9523
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0427649 | Kansas |
Profile Details
| NPI number | 1043217722 |
|---|---|
| LBN Legal business name | Cusick, Therese Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jul 30th, 2021 - about 3 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 | 1043217722 | NPPES |
| Kansas | MEDICAID | 100357660A |
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