Custer, Jason

Custer, Jason is an individual health care provider with primary practice located at 1263 N 15Th St , Laramie WY 82072-2343. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Custer, Jason can be contacted via phone (307) 745-8915.

Contact Information

Primary practice address
1263 N 15Th St Laramie WY 82072-2343
Phone: (307) 745-8915
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1093046633
LBN Legal business name Custer, Jason
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2010
Last updated Jan 21st, 2010 - 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.

Request for update

Popular Providers