Selleck, William Albert
Selleck, William Albert is an individual health care provider with primary practice located at 4 Elliot Way Suite 200, Manchester NH 03103-3547. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Selleck, William Albert can be contacted via phone (603) 669-9200.Contact Information
Primary practice address
4 Elliot Way Suite 200
Manchester NH 03103-3547
Phone: (603) 669-9200
Fax: (603) 624-2210
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 11976 | New Hampshire |
Profile Details
NPI number | 1134105166 |
---|---|
LBN Legal business name | Selleck, William Albert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 21st, 2005 |
Last updated | Apr 21st, 2021 - about 3 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 | 1134105166 | NPPES |
New Hampshire | MEDICAID | 81343603 |
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