Custelcean, Corina Adelaida
Custelcean, Corina Adelaida is an sole proprietor health care provider with primary practice located at 8376 Old Troy Pike , Huber Heights OH 45424-1028. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Custelcean, Corina Adelaida can be contacted via phone (937) 938-7678.Contact Information
Primary practice address
8376 Old Troy Pike
Huber Heights OH 45424-1028
Phone: (937) 938-7678
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 30-022087 | Ohio |
Profile Details
| NPI number | 1861454282 |
|---|---|
| LBN Legal business name | Custelcean, Corina Adelaida |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | May 29th, 2014 - about 10 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 | 1861454282 | NPPES |
| Ohio | MEDICAID | 2603392 | |
| Ohio | Other | 9181221 |
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