Mark Steven Selzer, | |
78 W Jefferson St, Jefferson, OH 44047-1028 | |
(440) 536-1636 | |
Not Available |
Full Name | Mark Steven Selzer |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 78 W Jefferson St, Jefferson, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902337363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN.CNP.019877 (Ohio) | Primary |
Entity Name | Mobile Medical Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689620015 PECOS PAC ID: 5890765481 Enrollment ID: O20040730000013 |
Mailing Address | Practice Location Address |
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Mark Steven Selzer, 78 W Jefferson St, Jefferson, OH 44047-1028 Ph: (440) 536-1636 | Mark Steven Selzer, 78 W Jefferson St, Jefferson, OH 44047-1028 Ph: (440) 536-1636 |
Diana Bucher, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 222 E Beech St, Jefferson, OH 44047 Phone: 440-576-0060 | |
Amanda West, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1295 Black Sea Rd, Jefferson, OH 44047 Phone: 440-969-4173 Fax: 216-201-7331 | |
Matthew Scott Barber, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 28 Dorset Rd, Jefferson, OH 44047 Phone: 440-576-4455 |