Seltzer, Laurence David
Seltzer, Laurence David is an individual health care provider with primary practice located at 915 Airway Ave Ste A , Kingman AZ 86409-3573. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Seltzer, Laurence David can be contacted via phone (928) 718-4800.Contact Information
Primary practice address
915 Airway Ave Ste A
Kingman AZ 86409-3573
Phone: (928) 718-4800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 42203 | Arizona |
Profile Details
| NPI number | 1407867294 |
|---|---|
| LBN Legal business name | Seltzer, Laurence David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1407867294 | NPPES |
| Nevada | MEDICAID | 002018539 | |
| Nevada | MEDICAID | 457576 |
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