Custodio, Rosena

Custodio, Rosena is an individual health care provider with primary practice located at 1900 E Main St , Danville IL 61832-5100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Custodio, Rosena can be contacted via phone (217) 554-5541.

Contact Information

Primary practice address
1900 E Main St Danville IL 61832-5100
Phone: (217) 554-5541
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 4301035393 Michigan

Profile Details

NPI number 1760578090
LBN Legal business name Custodio, Rosena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 2007 - about 17 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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