Selvage, Chris T
Selvage, Chris T is an sole proprietor health care provider with primary practice located at 16946 Burbank Blvd Suite 106, Encino CA 91316-1869. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Selvage, Chris T can be contacted via phone (818) 990-0179.Contact Information
Primary practice address
16946 Burbank Blvd Suite 106
Encino CA 91316-1869
Phone: (818) 990-0179
Fax: (818) 990-0814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A30587 | California |
Profile Details
| NPI number | 1780732941 |
|---|---|
| LBN Legal business name | Selvage, Chris T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2007 |
| Last updated | Jul 31st, 2008 - 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 | 1780732941 | NPPES |
| California | MEDICAID | 00A305870 |
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