Cusumano, Elisha Niccole

Cusumano, Elisha Niccole is an individual health care provider with primary practice located at 264 Hickey Gym 1 Shields Ave, Davis CA 95616. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Cusumano, Elisha Niccole can be contacted via phone (541) 335-9787.

Contact Information

Primary practice address
264 Hickey Gym 1 Shields Ave Davis CA 95616
Phone: (541) 335-9787
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1831663434
LBN Legal business name Cusumano, Elisha Niccole
Credentials MS, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2019
Last updated Jan 16th, 2019 - about 5 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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