Cusick, Michael

Cusick, Michael is an individual health care provider with primary practice located at 1300 Jefferson Park Ave , Charlottesville VA 22903-3363. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Cusick, Michael can be contacted via phone (434) 924-5485.

Contact Information

Primary practice address
1300 Jefferson Park Ave Charlottesville VA 22903-3363
Phone: (434) 924-5485
Fax: (434) 244-9436
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD-439428 Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101269475 Virginia
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X MD-439428 Pennsylvania
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 0101269475 Virginia

Profile Details

NPI number 1275670291
LBN Legal business name Cusick, Michael
Credentials MD, MHSA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Aug 9th, 2023 - about 3 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 1275670291 NPPES
Pennsylvania MEDICAID 102474527

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