Seltzer, Kelly
Seltzer, Kelly is an sole proprietor health care provider with primary practice located at 320 Monterey Cir , Jonesboro GA 30236-8242. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Seltzer, Kelly can be contacted via phone (404) 399-9077.Contact Information
Primary practice address
320 Monterey Cir
Jonesboro GA 30236-8242
Phone: (404) 399-9077
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
NPI number | 1710462759 |
---|---|
LBN Legal business name | Seltzer, Kelly |
Credentials | BAS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 26th, 2018 |
Last updated | Sep 26th, 2018 - about 7 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 | 1710462759 | NPPES |
Georgia | MEDICAID | 21554587418 |
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