MR. THEODORE JOSEPH SELLNER BA NPI 1154786754

NPI Information

NPI: 1154786754
Provider Name: MR. THEODORE JOSEPH SELLNER, BA
Classification: Specialist/Technologist - 225500000X
Entity Type: Individual
Address:
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI
ZIP 49506
Phone: (616) 940-0040
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MR. Theodore Joseph Sellner, BA is a specialist technologist in Grand Rapids, MI. The provider is general classification identifying individuals who are trained on a specific piece of equipment or technical procedure. MR. Theodore Joseph Sellner, BA NPI is 1154786754. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1490 E BELTLINE AVE SE
GRAND RAPIDS, MI
ZIP 49506-336
Phone: (616) 940-0040
Fax: (616) 940-8151

The enumeration date for this NPI number is 12/24/2015 and was last updated on 12/24/2015.

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
1	225500000X	Specialist/Technologist				Yes

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: 11/14/2023

NPI Synchronization or Removal

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