Custer, Timothy John
Custer, Timothy John is an individual health care provider with primary practice located at 2405 N Columbus St Suite 250, Lancaster OH 43130-8185. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Custer, Timothy John can be contacted via phone (740) 654-6213.Contact Information
Primary practice address
2405 N Columbus St Suite 250
Lancaster OH 43130-8185
Phone: (740) 654-6213
Fax: (740) 654-3346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35074468 | Ohio |
Profile Details
| NPI number | 1144211418 |
|---|---|
| LBN Legal business name | Custer, Timothy John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Oct 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144211418 | NPPES |
| Ohio | MEDICAID | 2232695 |
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