Sellberg, Kristine
Sellberg, Kristine is an individual health care provider with primary practice located at 5859 W Talavi Blvd Suite 100, Glendale AZ 85306. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Sellberg, Kristine can be contacted via phone (602) 298-7777.Contact Information
Primary practice address
5859 W Talavi Blvd Suite 100
Glendale AZ 85306
Phone: (602) 298-7777
Fax: (623) 930-6060
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 29043 | Arizona |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 29043 | Arizona |
Profile Details
NPI number | 1801886866 |
---|---|
LBN Legal business name | Sellberg, Kristine |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 21st, 2005 |
Last updated | Aug 20th, 2019 - about 5 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 | 1801886866 | NPPES |
Arizona | MEDICAID | 972803 |
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