Cuzzourt, Jeremy Clifton

Cuzzourt, Jeremy Clifton is an individual health care provider with primary practice located at 98 State St , Proctorville OH 45669-8163. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Cuzzourt, Jeremy Clifton can be contacted via phone (855) 446-5937.

Contact Information

Primary practice address
98 State St Proctorville OH 45669-8163
Phone: (855) 446-5937
Fax: (740) 886-9374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 46380 Tennessee
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 22299 West Virginia
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 35.125222 Ohio

Profile Details

NPI number 1013948694
LBN Legal business name Cuzzourt, Jeremy Clifton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jan 21st, 2021 - about 5 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 1013948694 NPPES
Other P00324289 RAILROAD MEDICARE
MEDICAID 2667234 RAILROAD MEDICARE
MEDICAID 3810005553 RAILROAD MEDICARE
MEDICAID 64127202 RAILROAD MEDICARE
MEDICAID 1519145 RAILROAD MEDICARE

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