Kurusu, Taro Augustus
Kurusu, Taro Augustus is an sole proprietor health care provider with primary practice located at 6541 Specker Ave , Fort Carson CO 80913-4263. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kurusu, Taro Augustus can be contacted via phone (719) 526-7155.Contact Information
Primary practice address
6541 Specker Ave
Fort Carson CO 80913-4263
Phone: (719) 526-7155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY8365 | Florida |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 2316 | Tennessee |
Profile Details
| NPI number | 1952385940 |
|---|---|
| LBN Legal business name | Kurusu, Taro Augustus |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Sep 26th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952385940 | NPPES |
| Other | 680014816 | RAILROAD MEDICARE | |
| Other | 4065356 | RAILROAD MEDICARE | |
| Other | 702017316 | RAILROAD MEDICARE | |
| Other | 476464000 | RAILROAD MEDICARE | |
| Other | TN0102 | RAILROAD MEDICARE | |
| Other | 4039014 | RAILROAD MEDICARE | |
| Other | 476464000 | RAILROAD MEDICARE |
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