Selens, Walter Raymond

Selens, Walter Raymond is an sole proprietor health care provider with primary practice located at 500 Forest Ave. 2Nd Floor, Portland ME 04101. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Selens, Walter Raymond can be contacted via phone (207) 838-4394.

Contact Information

Primary practice address
500 Forest Ave. 2Nd Floor Portland ME 04101
Phone: (207) 838-4394
Fax: (207) 878-3314
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT1104 Maine

Profile Details

NPI number 1366579955
LBN Legal business name Selens, Walter Raymond
Credentials L.M.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Jul 24th, 2012 - about 12 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 1366579955 NPPES
Maine Other 100191 ANTHEM BLUE CROSS

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