Cusano, Matthew W.

Cusano, Matthew W. is an individual health care provider with primary practice located at 2858 Sunset Blvd , West Columbia SC 29169-3420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Cusano, Matthew W. can be contacted via phone (803) 699-9073.

Contact Information

Primary practice address
2858 Sunset Blvd West Columbia SC 29169-3420
Phone: (803) 699-9073
Fax: (866) 527-0937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101236288 Virginia

Profile Details

NPI number 1740257831
LBN Legal business name Cusano, Matthew W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Aug 18th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740257831 NPPES
Virginia MEDICAID 1740257831
Virginia Other P00670127
Virginia MEDICAID 7100066160

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