Seltenreich, John
Seltenreich, John is an sole proprietor health care provider with primary practice located at 21 Broadleaf Dr , Clifton Park NY 12065-5719. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Seltenreich, John can be contacted via phone (518) 859-3951.Contact Information
Primary practice address
21 Broadleaf Dr
Clifton Park NY 12065-5719
Phone: (518) 859-3951
Fax: (518) 373-5925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 010817-1 | New York |
Profile Details
| NPI number | 1891734414 |
|---|---|
| LBN Legal business name | Seltenreich, John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1891734414 | NPPES |
| New York | MEDICAID | 01939528 | |
| New York | Other | 010817-1 |
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