Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 95005542 | CA |
NPI | 1033651195 |
---|---|
Provider Name | Christopher James Seligman |
First Address | Sacramento, CA 95825-2211 |
Second Address | Sacramento, CA 95815-4530 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2016 |
Last Update Date | 12/09/2017 |