Selisch, Max Otto
Selisch, Max Otto is an individual health care provider with primary practice located at 27 Colwell St , Port Hadlock WA 98339-0897. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Selisch, Max Otto can be contacted via phone (360) 385-9310.Contact Information
Primary practice address
27 Colwell St
Port Hadlock WA 98339-0897
Phone: (360) 385-9310
Fax: (360) 379-8826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00007845 | Washington |
Profile Details
| NPI number | 1831196245 |
|---|---|
| LBN Legal business name | Selisch, Max Otto |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Feb 11th, 2016 - about 8 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 | 1831196245 | NPPES |
| Other | 1831196245 | NPI |
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