Sevilla, Richard
Sevilla, Richard is an individual health care provider with primary practice located at 1801 E March Ln , Stockton CA 95210-6629. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Sevilla, Richard can be contacted via phone (209) 464-6422.Contact Information
Primary practice address
1801 E March Ln
Stockton CA 95210-6629
Phone: (209) 464-6422
Fax: (209) 464-0913
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 495538 | California |
Profile Details
| NPI number | 1932285921 |
|---|---|
| LBN Legal business name | Sevilla, Richard |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Nov 14th, 2014 - about 12 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 | 1932285921 | NPPES |
| California | Other | 495538 | LICENSE |
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