Provider Demographics
NPI:1356705719
Name:DUSHAC, ALISON RAE (PA-C)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:RAE
Last Name:DUSHAC
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CLEVELAND CLINIC EMERGENCY DEPARTMENT
Mailing Address - Street 2:9105 CEDAR AVENUE
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CLEVELAND CLINIC EMERGENCY DEPARTMENT
Practice Address - Street 2:9105 CEDAR AVENUE
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-7025
Practice Address - Fax:216-445-1521
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV2528363AM0700X
363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical