Provider Demographics
NPI:1700273851
Name:SELTMANN, PIA
Entity type:Individual
Prefix:
First Name:PIA
Middle Name:
Last Name:SELTMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1748 KALORAMA RD NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-8707
Mailing Address - Country:US
Mailing Address - Phone:202-262-6537
Mailing Address - Fax:
Practice Address - Street 1:1748 KALORAMA RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-8707
Practice Address - Country:US
Practice Address - Phone:202-262-6537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-15
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119006459171W00000X
DCOT010001069171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor