Selden, David Robert

Selden, David Robert is an sole proprietor health care provider with primary practice located at 301 Broadway , Chelsea MA 02150-2807. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Selden, David Robert can be contacted via phone (617) 912-7985.

Contact Information

Primary practice address
301 Broadway Chelsea MA 02150-2807
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 104496 Massachusetts

Profile Details

NPI number 1982705729
LBN Legal business name Selden, David Robert
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 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 1982705729 NPPES
Massachusetts Other S019325 CHAMPUS

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