Mccusker, Lori Marie
Mccusker, Lori Marie is an sole proprietor health care provider with primary practice located at 694 S Market Blvd , Chehalis WA 98532-3418. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Mccusker, Lori Marie can be contacted via phone (360) 740-0613.Contact Information
Primary practice address
694 S Market Blvd
Chehalis WA 98532-3418
Phone: (360) 740-0613
Fax: (360) 740-0613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA00005498 | Washington |
Profile Details
| NPI number | 1245358977 |
|---|---|
| LBN Legal business name | Mccusker, Lori Marie |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1245358977 | NPPES |
| Washington | Other | 12770 | LABOR&INDUSTRIES |
| Washington | Other | MC6071 | LABOR&INDUSTRIES |
| Washington | Other | 8925121 | LABOR&INDUSTRIES |
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