Parker, Selby J
Parker, Selby J is an individual health care provider with primary practice located at 939 Caroline St , Port Angeles WA 98362-3909. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Parker, Selby J can be contacted via phone (360) 417-7381.Contact Information
Primary practice address
939 Caroline St
Port Angeles WA 98362-3909
Phone: (360) 417-7381
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10003470 | Washington |
Profile Details
| NPI number | 1215906334 |
|---|---|
| LBN Legal business name | Parker, Selby J |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215906334 | NPPES |
| Washington | MEDICAID | 8128357 | |
| Washington | Other | 1709PA |
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