Sellers, Audrey Denise

Sellers, Audrey Denise is an individual health care provider with primary practice located at 1111 Market St First Floor, San Francisco CA 94103-1513. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Sellers, Audrey Denise can be contacted via phone (415) 863-3883.

Contact Information

Primary practice address
1111 Market St First Floor San Francisco CA 94103-1513
Phone: (415) 863-3883
Fax: (415) 863-7343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G62874 California

Profile Details

NPI number 1942346242
LBN Legal business name Sellers, Audrey Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Mar 7th, 2023 - about 3 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 1942346242 NPPES
California Other 05D869143 CLIA WAIVER
California Other OOG628740 CLIA WAIVER

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