Seluk, Crystal Dawn
Seluk, Crystal Dawn is an individual health care provider with primary practice located at 105 W Stone Dr Ste 4D , Kingsport TN 37660-3365. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Seluk, Crystal Dawn can be contacted via phone (423) 392-6299.Contact Information
Primary practice address
105 W Stone Dr Ste 4D
Kingsport TN 37660-3365
Phone: (423) 392-6299
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 4167 | Iowa |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 804 | Nebraska |
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 5101016973 | Michigan |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | DO3225 | Tennessee |
Profile Details
| NPI number | 1568689420 |
|---|---|
| LBN Legal business name | Seluk, Crystal Dawn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1568689420 | NPPES |
| Nebraska | MEDICAID | 10025795400 | |
| Nebraska | MEDICAID | 1568689420 | |
| Nebraska | MEDICAID | 47068731799 |
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