Custer, Galen M.

Custer, Galen M. is an individual health care provider with primary practice located at 12200 W 110Th St , Overland Park KS 66210-4045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Custer, Galen M. can be contacted via phone (913) 574-2650.

Contact Information

Primary practice address
12200 W 110Th St Overland Park KS 66210-4045
Phone: (913) 574-2650
Fax: (913) 574-2769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 04-24997 Kansas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 101826 Missouri

Profile Details

NPI number 1245202787
LBN Legal business name Custer, Galen M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated May 9th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245202787 NPPES
Missouri MEDICAID 1245202787
Missouri MEDICAID 100192750C

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