Custis, David K.

Custis, David K. is an individual health care provider with primary practice located at 112 7Th Ave , Wall SD 57790-0423. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Custis, David K. can be contacted via phone (605) 279-2149.

Contact Information

Primary practice address
112 7Th Ave Wall SD 57790-0423
Phone: (605) 279-2149
Fax: (605) 279-2139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0123 South Dakota

Profile Details

NPI number 1477516540
LBN Legal business name Custis, David K.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Mar 27th, 2014 - about 12 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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