Sellers, Tricia L

Sellers, Tricia L is an individual health care provider with primary practice located at 2704 N Tenaya Way , Las Vegas NV 89128-0424. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sellers, Tricia L can be contacted via phone (702) 877-8600.

Contact Information

Primary practice address
2704 N Tenaya Way Las Vegas NV 89128-0424
Fax: (702) 256-3095
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01059255A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 12630 Nevada

Profile Details

NPI number 1134109549
LBN Legal business name Sellers, Tricia L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jan 29th, 2009 - about 15 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 1134109549 NPPES
Nevada MEDICAID 1134109549

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