Selby, Michael Grant

Selby, Michael Grant is an individual health care provider with primary practice located at 101 Skaggs Rd, Ste 302 , Branson MO 65616-2062. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Selby, Michael Grant can be contacted via phone (417) 334-8288.

Contact Information

Primary practice address
101 Skaggs Rd, Ste 302 Branson MO 65616-2062
Phone: (417) 334-8288
Fax: (417) 334-6966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2014008959 Missouri
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2014008959 Missouri

Profile Details

NPI number 1346494192
LBN Legal business name Selby, Michael Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2008
Last updated Jul 8th, 2023 - about last year

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 1346494192 NPPES
Arkansas MEDICAID 212205001
Arkansas MEDICAID 2000014075

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