Healthcare Provider Details
I. General information
NPI: 1669479937
Provider Name (Legal Business Name): ANTHONY R SEHLINGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/01/2005
Last Update Date: 08/03/2020
Certification Date: 08/03/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2230 EDSEL LN NW STE 1
CORYDON IN
47112-2136
US
IV. Provider business mailing address
126 N BIRCHWOOD AVE
LOUISVILLE KY
40206-1522
US
V. Phone/Fax
- Phone: 812-734-0303
- Fax: 812-225-5145
- Phone: 502-895-1884
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | 01038852A |
| License Number State | IN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208VP0014X |
| Taxonomy | Interventional Pain Medicine Physician |
| License Number | 01038852A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: