Cusumano, Dominic A

Cusumano, Dominic A is an individual health care provider with primary practice located at 28295 Schoenherr Rd Ste C, Warren MI 48088-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Cusumano, Dominic A can be contacted via phone (586) 573-6669.

Contact Information

Primary practice address
28295 Schoenherr Rd Ste C Warren MI 48088-4300
Phone: (586) 573-6669
Fax: (586) 573-6667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301407063 Michigan

Profile Details

NPI number 1447243779
LBN Legal business name Cusumano, Dominic A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Dec 29th, 2020 - about 4 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 1447243779 NPPES
Michigan Other 0E06364 BCBS

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