Samuel, Selyne

Samuel, Selyne is an individual health care provider with primary practice located at 2300 Miami Valley Dr Ste 350 , Centerville OH 45459-1294. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Samuel, Selyne can be contacted via phone (937) 424-2469.

Contact Information

Primary practice address
2300 Miami Valley Dr Ste 350 Centerville OH 45459-1294
Phone: (937) 424-2469
Fax: (937) 424-2479
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35-128714 Ohio
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 35.128714 Ohio

Profile Details

NPI number 1447538590
LBN Legal business name Samuel, Selyne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2011
Last updated Jan 19th, 2021 - about 5 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 1447538590 NPPES
Ohio Other 2551671 PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
Ohio MEDICAID 0167456 PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
Ohio Other 1841239274 PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
Ohio Other 9338635 PARTNERS PHYSICIAN GROUP MEDICAID GROUP #

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