| Mark Steven Selzer, | |
|
78 W Jefferson St, Jefferson, OH 44047-1028 | |
| (440) 536-1636 | |
| Not Available |
| Full Name | Mark Steven Selzer |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 78 W Jefferson St, Jefferson, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902337363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN.CNP.019877 (Ohio) | Primary |
| Entity Name | Mobile Medical Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689620015 PECOS PAC ID: 5890765481 Enrollment ID: O20040730000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Steven Selzer, 78 W Jefferson St, Jefferson, OH 44047-1028 Ph: (440) 536-1636 | Mark Steven Selzer, 78 W Jefferson St, Jefferson, OH 44047-1028 Ph: (440) 536-1636 |
Matthew Scott Barber, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28 Dorset Rd, Jefferson, OH 44047 Phone: 440-576-4455 | |
Dr. Adam Matthew Davis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1484 Sr 46 N, Ste. 7, Jefferson, OH 44047 Phone: 440-624-4214 Fax: 440-624-4299 | |
Daniel William Rankin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 38 Dorset Rd, Jefferson, OH 44047 Phone: 440-576-4455 |