Severance, Perry J

Severance, Perry J is an individual health care provider with primary practice located at 1200 6Th Ave N , Saint Cloud MN 56303-2735. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Severance, Perry J can be contacted via phone (320) 252-5131.

Contact Information

Primary practice address
1200 6Th Ave N Saint Cloud MN 56303-2735
Phone: (320) 252-5131
Fax: (320) 240-2118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25579 Minnesota
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 25579 Minnesota

Profile Details

NPI number 1306835004
LBN Legal business name Severance, Perry J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Dec 13th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306835004 NPPES
Other 1000006 PREFERRED ONE
Other 108496 PREFERRED ONE
Other 600819 PREFERRED ONE
Other 045098700 PREFERRED ONE
Other 6D089SE PREFERRED ONE
Other 449000005 PREFERRED ONE
Other HP22744 PREFERRED ONE
Other 9227216 PREFERRED ONE
Other 2114131 PREFERRED ONE

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