Cusack, William E.

Cusack, William E. is an sole proprietor health care provider with primary practice located at 5013 N University St Ste. 2, Peoria IL 61614-4792. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Cusack, William E. can be contacted via phone (309) 693-2220.

Contact Information

Primary practice address
5013 N University St Ste. 2 Peoria IL 61614-4792
Phone: (309) 693-2220
Fax: (309) 693-2272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X Illinois

Profile Details

NPI number 1538173216
LBN Legal business name Cusack, William E.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 2007 - about 19 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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