Selbst, Richard G

Selbst, Richard G is an individual health care provider with primary practice located at 354 Merrimack St , Lawrence MA 01843-1754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Selbst, Richard G can be contacted via phone (978) 687-2321.

Contact Information

Primary practice address
354 Merrimack St Lawrence MA 01843-1754
Phone: (978) 687-2321
Fax: (978) 685-7265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 49677 Massachusetts
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 6606 New Hampshire

Profile Details

NPI number 1134116270
LBN Legal business name Selbst, Richard G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jul 9th, 2007 - about 17 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 1134116270 NPPES
Massachusetts MEDICAID 0167703
Massachusetts Other 05-00255
Massachusetts Other 05-00022
Massachusetts Other 11731
Massachusetts Other 4460335
Massachusetts Other 715264
Massachusetts Other 0003751
Massachusetts Other D02067
Massachusetts MEDICAID 00000166
Massachusetts Other 0102760Y0MA01
Massachusetts Other 1127308-001
Massachusetts Other 23597

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