Custis, James William
Custis, James William is an sole proprietor health care provider with primary practice located at 3911 10Th Ave S , Birmingham AL 35222-4207. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Custis, James William can be contacted via phone (205) 999-6456.Contact Information
Primary practice address
3911 10Th Ave S
Birmingham AL 35222-4207
Phone: (205) 999-6456
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25110 | Alabama |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 25110 | Alabama |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 00025110 | Alabama |
Profile Details
| NPI number | 1588688873 |
|---|---|
| LBN Legal business name | Custis, James William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jun 25th, 2020 - about 6 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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