Selitsky, Benson

Selitsky, Benson is an individual health care provider with primary practice located at 5050 Schaefer Rd , Dearborn MI 48126-3249. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Selitsky, Benson can be contacted via phone (313) 581-2600.

Contact Information

Primary practice address
5050 Schaefer Rd Dearborn MI 48126-3249
Fax: (313) 581-0228
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5101005867 Michigan

Profile Details

NPI number 1780639849
LBN Legal business name Selitsky, Benson
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Dec 23rd, 2011 - about 13 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 1780639849 NPPES
Michigan Other 027698 MIDWEST HEALTH PLAN
Michigan Other 120191 MIDWEST HEALTH PLAN
Michigan Other 300Q264480 MIDWEST HEALTH PLAN
Michigan Other 57100 MIDWEST HEALTH PLAN
Michigan MEDICAID 114445728 MIDWEST HEALTH PLAN
Michigan Other 5790032 MIDWEST HEALTH PLAN

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