Custer, Bryan G
Custer, Bryan G is an individual health care provider with primary practice located at 1800 E Park Ave , State College PA 16803-6701. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Custer, Bryan G can be contacted via phone (814) 234-6110.Contact Information
Primary practice address
1800 E Park Ave
State College PA 16803-6701
Phone: (814) 234-6110
Fax: (814) 234-6765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA051396 | Pennsylvania |
Profile Details
| NPI number | 1922062231 |
|---|---|
| LBN Legal business name | Custer, Bryan G |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Aug 23rd, 2007 - about 17 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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