Provider Demographics
NPI:1629296728
Name:EMSC, LLC
Entity Type:Organization
Organization Name:EMSC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SELLBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:316-619-4450
Mailing Address - Street 1:1985 COUGAR TRL
Mailing Address - Street 2:
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460-8111
Mailing Address - Country:US
Mailing Address - Phone:316-749-4726
Mailing Address - Fax:316-749-4760
Practice Address - Street 1:1985 COUGAR TRL
Practice Address - Street 2:
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-8111
Practice Address - Country:US
Practice Address - Phone:316-749-4726
Practice Address - Fax:316-749-4760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty