Custer, Christopher Craig
Custer, Christopher Craig is an sole proprietor health care provider with primary practice located at 4612 Westbranch Highway , Lewisburg PA 17837. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Custer, Christopher Craig can be contacted via phone (570) 523-3462.Contact Information
Primary practice address
4612 Westbranch Highway
Lewisburg PA 17837
Phone: (570) 523-3462
Fax: (570) 524-4197
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD 030589-E | Pennsylvania |
Profile Details
NPI number | 1871585190 |
---|---|
LBN Legal business name | Custer, Christopher Craig |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 23rd, 2005 |
Last updated | Jul 8th, 2007 - about 18 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 | 1871585190 | NPPES |
Pennsylvania | MEDICAID | 0010420790002 |
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