Custer, Rebecca L.

Custer, Rebecca L. is an individual health care provider with primary practice located at 3524 E Milwaukee St , Janesville WI 53546-1626. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Custer, Rebecca L. can be contacted via phone (608) 756-7216.

Contact Information

Primary practice address
3524 E Milwaukee St Janesville WI 53546-1626
Phone: (608) 756-7216
Fax: (608) 756-4700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 12031-24 Wisconsin

Profile Details

NPI number 1598028144
LBN Legal business name Custer, Rebecca L.
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2012
Last updated Dec 19th, 2016 - about 10 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 1598028144 NPPES
Wisconsin MEDICAID 1598028144
Wisconsin Other GRAFEREB

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