Waterton, Selwyn

Waterton, Selwyn is an individual health care provider with primary practice located at 201 E. Sample Road Dept Of Emergency Medicine, Deerfield Beach FL 33064. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Waterton, Selwyn can be contacted via phone (954) 786-6800.

Contact Information

Primary practice address
201 E. Sample Road Dept Of Emergency Medicine Deerfield Beach FL 33064
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 195018-1 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME 97308 Florida

Profile Details

NPI number 1447245535
LBN Legal business name Waterton, Selwyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Oct 13th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447245535 NPPES
New York MEDICAID 01720378

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