Kussro, Erik Marshall

Kussro, Erik Marshall is an individual health care provider with primary practice located at 3831 Piper St Suite S450, Anchorage AK 99508-4672. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Kussro, Erik Marshall can be contacted via phone (907) 258-6999.

Contact Information

Primary practice address
3831 Piper St Suite S450 Anchorage AK 99508-4672
Phone: (907) 258-6999
Fax: (907) 258-9470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2454 Alaska
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 5068 Alaska

Profile Details

NPI number 1215904156
LBN Legal business name Kussro, Erik Marshall
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Feb 18th, 2013 - about 11 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 1215904156 NPPES
Alaska MEDICAID MD4485

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