Custer, O. M.
Custer, O. M. is an sole proprietor health care provider with primary practice located at 14 West Main St Suite 5, Ione CA 95640-1415. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Custer, O. M. can be contacted via phone (209) 642-0724.Contact Information
Primary practice address
14 West Main St Suite 5
Ione CA 95640-1415
Phone: (209) 642-0724
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 22981 | California |
Profile Details
| NPI number | 1134598295 |
|---|---|
| LBN Legal business name | Custer, O. M. |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2015 |
| Last updated | Sep 18th, 2015 - 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.
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