Sebulsky, Joseph Mark
Sebulsky, Joseph Mark is an individual health care provider with primary practice located at 1315 Nw 4Th St Ste B, Redmond OR 97756-1328. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Sebulsky, Joseph Mark can be contacted via phone (541) 923-7494.Contact Information
Primary practice address
1315 Nw 4Th St Ste B
Redmond OR 97756-1328
Phone: (541) 923-7494
Fax: (541) 504-9153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1016749 | Oregon |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1093 | New Hampshire |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 0720000310 | Vermont |
Profile Details
| NPI number | 1104884055 |
|---|---|
| LBN Legal business name | Sebulsky, Joseph Mark |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104884055 | NPPES |
| Oregon | MEDICAID | 231021 |
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