Kusserow, Kurt S.

Kusserow, Kurt S. is an individual health care provider with primary practice located at 2000 Sutter Place , Davis CA 95616-6201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kusserow, Kurt S. can be contacted via phone (530) 756-6440.

Contact Information

Primary practice address
2000 Sutter Place Davis CA 95616-6201
Phone: (530) 756-6440
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A91540 California

Profile Details

NPI number 1326156878
LBN Legal business name Kusserow, Kurt S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Mar 7th, 2011 - about 15 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 1326156878 NPPES
California MEDICAID 00A915400

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