Cusack, Mae Helen
Cusack, Mae Helen is an sole proprietor health care provider with primary practice located at 673 San Jose Ave , San Francisco CA 94110-4914. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Cusack, Mae Helen can be contacted via phone (415) 282-3769.Contact Information
Primary practice address
673 San Jose Ave
San Francisco CA 94110-4914
Phone: (415) 282-3769
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry | 2084B0040X | 2080P0008X | California |
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1992396188 |
|---|---|
| LBN Legal business name | Cusack, Mae Helen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2021 |
| Last updated | Sep 21st, 2022 - about 4 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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