Custer, Marvis

Custer, Marvis is an individual health care provider with primary practice located at 1701 E College Ave , Bloomington IL 61704-2101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Custer, Marvis can be contacted via phone (309) 662-3000.

Contact Information

Primary practice address
1701 E College Ave Bloomington IL 61704-2101
Phone: (309) 662-3000
Fax: (309) 664-3026
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 209003675 Illinois

Profile Details

NPI number 1215237987
LBN Legal business name Custer, Marvis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2010
Last updated Oct 28th, 2010 - about 16 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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