Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | C10005218 | DE |
NPI | 1114019965 |
---|---|
Provider Name | Dr. Steven M. Selbst |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 10/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000870368 | (05) | PA |
2221705 | (05) | NJ |
6003028 | (05) | VA |
672404 | (05) | NY |
743022 | (05) | AZ |
7642024 | (05) | MD |
9840790000 | (05) | WV |
B37134 | (02) | |
Q27603 | (05) | SC |