Custer, Michael

Custer, Michael is an individual health care provider with primary practice located at 453 E 32Nd St , Durango CO 81301-6013. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Custer, Michael can be contacted via phone (508) 851-4360.

Contact Information

Primary practice address
453 E 32Nd St Durango CO 81301-6013
Phone: (508) 851-4360
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA.0013719 Colorado
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 9182 Massachusetts

Profile Details

NPI number 1336598705
LBN Legal business name Custer, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2016
Last updated Jun 7th, 2016 - about 9 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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