Provider Demographics
NPI:1134999493
Name:SELL, DAVID RAY
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:RAY
Last Name:SELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2662 S BEECHGROVE RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:45177-7671
Mailing Address - Country:US
Mailing Address - Phone:937-725-5239
Mailing Address - Fax:
Practice Address - Street 1:2662 S BEECHGROVE RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:OH
Practice Address - Zip Code:45177-7671
Practice Address - Country:US
Practice Address - Phone:937-725-5239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker