Custodio, Dennis Buenaventura
Custodio, Dennis Buenaventura is an sole proprietor health care provider with primary practice located at 69 Trout Ave Naval Undersea Medical Institute, Groton CT 06349. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Custodio, Dennis Buenaventura can be contacted via phone (253) 905-8239.Contact Information
Primary practice address
69 Trout Ave Naval Undersea Medical Institute
Groton CT 06349
Phone: (253) 905-8239
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1013264423 |
|---|---|
| LBN Legal business name | Custodio, Dennis Buenaventura |
| Credentials | INDEPENDENT DUTY HM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2012 |
| Last updated | Aug 6th, 2012 - about 13 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.
Popular Providers
-
Underwood, Roy L
1 Wahoo Ave , Groton CT 06340-2324 -
Mcneely, Matthew Cody
96 Michigan Drive , Groton CT 06340 -
Mammoth, Mark
1 Wahoo Drive Naval Branch Health Clinic, Groton CT 06349-5600 -
Dierking, Randall Frederick
1 Wahoo Ave Undersea Medicine, Groton CT 06340-2324 -
Schriever, Karl Frederick
1 Wahoo Drive Naval Branch Health Clinic, Groton CT 06349-5600 -
Johnson, Mark Haley
Nlon Medical Department Bldg 76 Naval Submarine Base, Groton CT 06340 -
Nutt, Michael
Bldg 517 Taugtog Ave Navsubscol, Groton CT 06349 -
Balter, Joshua O
1 Wahoo Ave Subase Nlon, Groton CT 06340-2324