Custer, Christopher Craig

Custer, Christopher Craig is an sole proprietor health care provider with primary practice located at 4612 Westbranch Highway , Lewisburg PA 17837. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Custer, Christopher Craig can be contacted via phone (570) 523-3462.

Contact Information

Primary practice address
4612 Westbranch Highway Lewisburg PA 17837
Phone: (570) 523-3462
Fax: (570) 524-4197
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD 030589-E Pennsylvania

Profile Details

NPI number 1871585190
LBN Legal business name Custer, Christopher Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871585190 NPPES
Pennsylvania MEDICAID 0010420790002

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