Sellers, David F
Sellers, David F is an sole proprietor health care provider with primary practice located at 4080 Summerhill Sq , Texarkana TX 75503-2730. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Sellers, David F can be contacted via phone (903) 793-7994.Contact Information
Primary practice address
4080 Summerhill Sq
Texarkana TX 75503-2730
Phone: (903) 793-7994
Fax: (903) 793-7996
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | AP101349 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 235571 | Texas |
Profile Details
| NPI number | 1740288638 |
|---|---|
| LBN Legal business name | Sellers, David F |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Jun 2nd, 2021 - about 4 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 | 1740288638 | NPPES |
| Texas | Other | 84293C | BLUE CROSS |
| Texas | Other | 97081 | BLUE CROSS |
| Texas | MEDICAID | 109670303 | BLUE CROSS |
| Texas | MEDICAID | 128073701 | BLUE CROSS |
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