Shaban, Sedat Selajdin

Shaban, Sedat Selajdin is an sole proprietor health care provider with primary practice located at 1389 West Main St Ste 308, Waterbury CT 06708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Shaban, Sedat Selajdin can be contacted via phone (203) 755-1464.

Contact Information

Primary practice address
1389 West Main St Ste 308 Waterbury CT 06708
Fax: (203) 754-7721
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19493 Connecticut

Profile Details

NPI number 1457415648
LBN Legal business name Shaban, Sedat Selajdin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2006
Last updated Dec 15th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457415648 NPPES
Connecticut MEDICAID 001194935

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