Custer, Shanon L
Custer, Shanon L is an individual health care provider with primary practice located at 2214 Canterbury Dr Suite 202, Hays KS 67601-2375. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Custer, Shanon L can be contacted via phone (785) 623-2312.Contact Information
Primary practice address
2214 Canterbury Dr Suite 202
Hays KS 67601-2375
Phone: (785) 623-2312
Fax: (785) 623-2323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 04-30345 | Kansas |
Profile Details
| NPI number | 1902870637 |
|---|---|
| LBN Legal business name | Custer, Shanon L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Dec 16th, 2009 - about 15 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 | 1902870637 | NPPES |
| Kansas | MEDICAID | 200335110A |
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