Selig, Andrew

Selig, Andrew is an sole proprietor health care provider with primary practice located at 1673 Mason Ave Ste 305 , Daytona Beach FL 32117-5516. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Selig, Andrew can be contacted via phone (386) 274-7118.

Contact Information

Primary practice address
1673 Mason Ave Ste 305 Daytona Beach FL 32117-5516
Phone: (386) 274-7118
Fax: (386) 274-6173
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9107633 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9107633 Florida

Profile Details

NPI number 1336579374
LBN Legal business name Selig, Andrew
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2013
Last updated Oct 19th, 2018 - about 8 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 1336579374 NPPES
Florida MEDICAID 010037100

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