MEDICARE: DANIEL SELLERS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	50.010228RX	OH

General Provider Information

NPI Number	:	1841693819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL SELLERS PA-C

Provider Business Mailing Address
First Line	:	1330 CLARK ST
Second Line	:
City	:	CAMBRIDGE
State	:	OH
Zip	:	43725-9614
Country	:	US
Telephone Number	:	740-891-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1330 CLARK ST
Second Line	:
City	:	CAMBRIDGE
State	:	OH
Zip	:	43725-9614
Country	:	US
Telephone Number	:	740-891-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2014
Last Update Date	:	06/18/2026

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