SAMUEL SELISCH NPI 1134009442

NPI Information

  • NPI: 1134009442
  • Provider Name: SAMUEL SELISCH
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 631 N 6TH ST
    GRAND FORKS, ND
    ZIP 58203
  • Phone: (360) 302-0869

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NPI Details

Samuel Selisch is a student in an organized health care education training program in Grand Forks, ND. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Samuel Selisch NPI is 1134009442. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

631 N 6TH ST
GRAND FORKS, ND
ZIP 58203-232
Phone: (360) 302-0869

The enumeration date for this NPI number is 9/5/2025 and was last updated on 9/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNORTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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