Sellers, Audrey Denise
Sellers, Audrey Denise is an individual health care provider with primary practice located at 1111 Market St First Floor, San Francisco CA 94103-1513. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Sellers, Audrey Denise can be contacted via phone (415) 863-3883.Contact Information
Primary practice address
1111 Market St First Floor
San Francisco CA 94103-1513
Phone: (415) 863-3883
Fax: (415) 863-7343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | G62874 | California |
Profile Details
| NPI number | 1942346242 |
|---|---|
| LBN Legal business name | Sellers, Audrey Denise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1942346242 | NPPES |
| California | Other | 05D869143 | CLIA WAIVER |
| California | Other | OOG628740 | CLIA WAIVER |
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