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Individual

DR. JEFFREY W SELBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10288 W STATE ROUTE 66, NEWBURGH, IN 47630-7952
(812) 853-5864
(812) 853-5610
Mailing address
PO BOX 249, NEWBURGH, IN 47629-0249
(812) 853-5864
(812) 853-5610

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01027862A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35712
KY
207RP1001X
Pulmonary Disease Physician
01027862A
IN
207RP1001X
Pulmonary Disease Physician
Primary
35712
KY
363LA2100X
Acute Care Nurse Practitioner
3005907
KY
363LA2100X
Acute Care Nurse Practitioner
71002793B
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000307442
ANTHEM
IN
01
000000307442
ANTHEM
KY
05
100138760C
IN
05
64754484
KY
Enumeration date
09/27/2005
Last updated
03/07/2023
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