Severson, Dean Dennis

Severson, Dean Dennis is an individual health care provider with primary practice located at 2055 N Main St , Tooele UT 84074-9819. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Severson, Dean Dennis can be contacted via phone (435) 843-3600.

Contact Information

Primary practice address
2055 N Main St Tooele UT 84074-9819
Phone: (435) 843-3600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 6280859-4406 Utah

Profile Details

NPI number 1972683498
LBN Legal business name Severson, Dean Dennis
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Apr 30th, 2009 - about 17 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 1972683498 NPPES
Wisconsin MEDICAID 1972683498

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