Dr. Jeffrey W. Selby MD
Pulmonary Disease Physician in Newburgh, IN(View on Map)
Full Name
Dr. Jeffrey W Selby MD
NPI Number
1992791685
NPI Type
Individual Provider
Gender
Male
Enumeration Date
09/27/2005
Specialties
(Taxonomies)Name
Code
207RP1001X
363LA2100X
207RC0200X
Primary Taxonomy
Yes
No
No
Licenses
State
Indiana
Indiana
Kentucky
Kentucky
License Number
71002793B
01027862A
35712
3005907
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 249
10288 W STATE ROUTE 66
City
Newburgh
Newburgh
State
IN
IN
Postal Code
47629-0249
47630-7952
Country
US
US
Telephone Number
(812) 853-5864
(812) 853-5864
Identifiers
Identifier
000000307442
000000307442
100138760C
64754484
Identifier State
KY
IN
IN
KY
Identifier Issuer
ANTHEM
ANTHEM
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/07/2023
Provider Address
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