Selders, Brendan

Selders, Brendan is an individual health care provider with primary practice located at 12728 19Th Ave Se Suite 200, Everett WA 98208-6526. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Selders, Brendan can be contacted via phone (425) 225-2700.

Contact Information

Primary practice address
12728 19Th Ave Se Suite 200 Everett WA 98208-6526
Phone: (425) 225-2700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004907 Washington

Profile Details

NPI number 1437106622
LBN Legal business name Selders, Brendan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Nov 3rd, 2016 - about 10 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 1437106622 NPPES
Washington MEDICAID 8446312
Washington Other P00286191
Washington Other PA10004907

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