Mckusker, Shauna K
Mckusker, Shauna K is an individual health care provider with primary practice located at 1300 E 20Th St , Cheyenne WY 82001-4021. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Mckusker, Shauna K can be contacted via phone (307) 634-2020.Contact Information
Primary practice address
1300 E 20Th St
Cheyenne WY 82001-4021
Phone: (307) 634-2020
Fax: (307) 635-6510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4075A | Wyoming |
Profile Details
| NPI number | 1073516571 |
|---|---|
| LBN Legal business name | Mckusker, Shauna K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1073516571 | NPPES |
| Wyoming | MEDICAID | 103117100 |
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