Cusworth, Robert B

Cusworth, Robert B is an individual health care provider with primary practice located at 201 Bjc Saint Peters Dr Suite 100, Saint Peters MO 63376-3091. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Cusworth, Robert B can be contacted via phone (636) 916-8200.

Contact Information

Primary practice address
201 Bjc Saint Peters Dr Suite 100 Saint Peters MO 63376-3091
Phone: (636) 916-8200
Fax: (636) 947-4246
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X R6241 Missouri

Profile Details

NPI number 1255339560
LBN Legal business name Cusworth, Robert B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Dec 15th, 2014 - about 11 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 1255339560 NPPES
Missouri MEDICAID 201188919

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