Williams, Seleria

Williams, Seleria is an individual health care provider with primary practice located at 3300 Township Line Rd Ste 102 , Drexel Hill PA 19026-1925. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Williams, Seleria can be contacted via phone (610) 853-9919.

Contact Information

Primary practice address
3300 Township Line Rd Ste 102 Drexel Hill PA 19026-1925
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X SL007049 Pennsylvania

Profile Details

NPI number 1427234129
LBN Legal business name Williams, Seleria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2008
Last updated Jan 14th, 2008 - about 18 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 1427234129 NPPES
Pennsylvania MEDICAID 1020095360001

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