Custer, John Vernon

Custer, John Vernon is an sole proprietor health care provider with primary practice located at 1 Poston Rd Suite 145, Charleston SC 29407-3424. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Custer, John Vernon can be contacted via phone (843) 556-4157.

Contact Information

Primary practice address
1 Poston Rd Suite 145 Charleston SC 29407-3424
Fax: (843) 763-8747
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 15084 South Carolina

Profile Details

NPI number 1578679452
LBN Legal business name Custer, John Vernon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2006
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 1578679452 NPPES
South Carolina MEDICAID 150847

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