Kusumi, Rodney B.

Kusumi, Rodney B. is an sole proprietor health care provider with primary practice located at 1013 N 13Th St , Lafayette IN 47904-2011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kusumi, Rodney B. can be contacted via phone (765) 428-8888.

Contact Information

Primary practice address
1013 N 13Th St Lafayette IN 47904-2011
Phone: (765) 428-8888
Fax: (765) 428-8889
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01057576A Indiana

Profile Details

NPI number 1265458160
LBN Legal business name Kusumi, Rodney B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Apr 25th, 2024 - about 7 months 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 1265458160 NPPES
Indiana Other 000000341839 ANTHEM BLUE CROSS/BLUE SH
Indiana MEDICAID 200441070 ANTHEM BLUE CROSS/BLUE SH
Indiana Other P00176469 ANTHEM BLUE CROSS/BLUE SH

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