Selby, Susan M

Selby, Susan M is an individual health care provider with primary practice located at 201 Industrial Rd Ste 410 , San Carlos CA 94070-2396. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Selby, Susan M can be contacted via phone (650) 249-9090.

Contact Information

Primary practice address
201 Industrial Rd Ste 410 San Carlos CA 94070-2396
Phone: (650) 249-9090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Genetic Counselor, MS 170300000X 740000054A Indiana

Profile Details

NPI number 1205270071
LBN Legal business name Selby, Susan M
Credentials GC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2013
Last updated Apr 7th, 2025 - about last year

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 1205270071 NPPES
Indiana MEDICAID 300008082

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