Selby, Dena M
Selby, Dena M is an individual health care provider with primary practice located at 3455 Wilkens Ave Ste 208 , Baltimore MD 21229-5265. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Pediatric Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Selby, Dena M can be contacted via phone (410) 644-4320.Contact Information
Primary practice address
3455 Wilkens Ave Ste 208
Baltimore MD 21229-5265
Phone: (410) 644-4320
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | D0037847 | Maryland |
| Allopathic & Osteopathic Physicians / Pediatric Pathology | 207ZP0213X | D0037847 | Maryland |
Profile Details
| NPI number | 1356432694 |
|---|---|
| LBN Legal business name | Selby, Dena M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 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 | 1356432694 | NPPES |
| Maryland | Other | 61489901 | BLUE SHIELD |
| Maryland | Other | W2270021 | BLUE SHIELD |
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