Custodio, Don L
Custodio, Don L is an individual health care provider with primary practice located at 4100 State Highway 66 , Stevens Point WI 54482-8410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Custodio, Don L can be contacted via phone (715) 343-7700.Contact Information
Primary practice address
4100 State Highway 66
Stevens Point WI 54482-8410
Phone: (715) 343-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 4301085609 | Michigan |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 3088 | Wisconsin |
Profile Details
| NPI number | 1316152598 |
|---|---|
| LBN Legal business name | Custodio, Don L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2007 |
| Last updated | Feb 19th, 2024 - about 2 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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