Custis, Fayne

Custis, Fayne is an sole proprietor health care provider with primary practice located at 2 E Berry St , Greencastle IN 46135-1901. He recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as his primary health care specialty. Custis, Fayne can be contacted via phone (765) 655-4737.

Contact Information

Primary practice address
2 E Berry St Greencastle IN 46135-1901
Phone: (765) 655-4737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1215696323
LBN Legal business name Custis, Fayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2021
Last updated Dec 16th, 2021 - about 3 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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