Edward, Selwan O.

Edward, Selwan O. is an individual health care provider with primary practice located at 18101 Oakwood Blvd Interim Stay Unit Observation Care, Dearborn MI 48124. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Edward, Selwan O. can be contacted via phone (313) 982-5770.

Contact Information

Primary practice address
18101 Oakwood Blvd Interim Stay Unit Observation Care Dearborn MI 48124
Phone: (313) 982-5770
Fax: (313) 982-5771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 4301091975 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301091975 Michigan
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 01081506A Indiana

Profile Details

NPI number 1376795559
LBN Legal business name Edward, Selwan O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2008
Last updated Jan 10th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376795559 NPPES
Other 12290308 CAQH
MEDICAID 1376795559 CAQH

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