Michael J Mccusker in Corvallis - Medical
Michael J Mccusker - NPI 1013096684
Michael J Mccusker is a Medical in Corvallis, Oregon. Michael J Mccusker practices all healthcare services and medical treatments related to Medical. The NPI Number for Michael J Mccusker is 1013096684. The last update date is 2023-03-07.
Michael J Mccusker's current location address is 530 Nw 27th St, Corvallis, Oregon. You can contact this provider via phone number 5417666611 and fax number 5417666186. The mailing address for Michael J Mccusker is 530 Nw 27th St, Corvallis, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael J Mccusker |
|---|---|
| Address | 530 Nw 27th St, Corvallis, Oregon |
| Phone Number | 5417666611 |
| Fax Number | 5417666186 |
| Sole Proprietor | N |
| Credentials | P. A.-C |
NPI Number Detail
| NPI Number | 1013096684 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 530 Nw 27th St |
|---|---|
| City | Corvallis |
| State | Oregon (OR) |
| Post Code | 973305223 |
| Phone Number | 5417666611 |
| Fax Number | 5417666186 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA01335 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500634427 | OR | -- | |
| PA01335 | OR | OREGON MEDICAL BOARD |
Post Comment/ Review Below
What is the unique identification code assigned to Michael J Mccusker by the Centers for Medicare & Medicaid Services?
The Michael J Mccusker has been issued the NPI (National Provider Identifier) 1013096684. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Michael J Mccusker located?
The Michael J Mccusker is located at 530 Nw 27Th St, Corvallis, OR 973305223.
What is the Michael J Mccusker's area of specialization and corresponding taxonomy classification?
The Michael J Mccusker's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013096684 to Michael J Mccusker?
The Centers for Medicare & Medicaid Services originally issued the 1013096684 to Michael J Mccusker on 2006-11-03.
As of what date were the details related to Michael J Mccusker most recently updated or revised?
The information pertaining to Michael J Mccusker, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.