Severson, Carol A
Severson, Carol A is an sole proprietor health care provider with primary practice located at 1209 Shortridge St Se , Albany OR 97322-6934. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Severson, Carol A can be contacted via phone (541) 928-1002.Contact Information
Primary practice address
1209 Shortridge St Se
Albany OR 97322-6934
Phone: (541) 928-1002
Fax: (541) 327-2721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | DEM-LD102953 | Oregon |
Profile Details
| NPI number | 1104957307 |
|---|---|
| LBN Legal business name | Severson, Carol A |
| Credentials | LDM,CPM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104957307 | NPPES |
| Oregon | MEDICAID | 140058 | |
| Oregon | Other | 98040016 | |
| Oregon | Other | LDM-LD 102953 |
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