A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Adolescent Medicine | 207QA0000X |
| Adult Medicine | 207QA0505X | |
| Geriatric Medicine | 207QG0300X | |
| Legal Medicine | 173000000X |
* Indicates primary specialty
| NPI Number | 1669452298 |
| Legal business name LBN |
CUSTOM MEDICAL SERVICES |
| Authorized official | STEVE PEHRSON - (PRESIDENT) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 01/19/2006 |
| Last updated | 09/11/2025 - About 9 months ago |
| Sole proprietor1 | Not specified |
| Identifiers |
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1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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