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
Fax: (603) 624-2210
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134105166 NPPES
New Hampshire MEDICAID 81343603

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