Selden, Samuel Thwing

Selden, Samuel Thwing is an individual health care provider with primary practice located at 200 Medical Pkwy Ste 309, Chesapeake VA 23320-4911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Selden, Samuel Thwing can be contacted via phone (757) 547-9241.

Contact Information

Primary practice address
200 Medical Pkwy Ste 309 Chesapeake VA 23320-4911
Fax: (757) 547-5741
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0101033093 Virginia

Profile Details

NPI number 1336135839
LBN Legal business name Selden, Samuel Thwing
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
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 1336135839 NPPES
Virginia MEDICAID 5996937

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