Severson, Michael D

Severson, Michael D is an individual health care provider with primary practice located at 520 S Eagle Rd Suite 1222, Meridian ID 83642-6351. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Severson, Michael D can be contacted via phone (208) 947-2266.

Contact Information

Primary practice address
520 S Eagle Rd Suite 1222 Meridian ID 83642-6351
Phone: (208) 947-2266
Fax: (208) 947-2267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X M8793 Idaho
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X M8793 Idaho

Profile Details

NPI number 1205827904
LBN Legal business name Severson, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jan 18th, 2024 - about 2 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 1205827904 NPPES
Idaho Other P00036983 RAILROAD MEDICARE
Idaho MEDICAID 806625400 RAILROAD MEDICARE

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