Sevvom, Amanda Jean

Sevvom, Amanda Jean is an individual health care provider with primary practice located at 3555 Lutheran Pkwy Ste 340 , Wheat Ridge CO 80033-6039. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sevvom, Amanda Jean can be contacted via phone (303) 996-6005.

Contact Information

Primary practice address
3555 Lutheran Pkwy Ste 340 Wheat Ridge CO 80033-6039
Phone: (303) 996-6005
Fax: (303) 420-8831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1801047956
LBN Legal business name Sevvom, Amanda Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2008
Last updated Aug 5th, 2019 - about 7 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 1801047956 NPPES
Colorado MEDICAID 1801047956

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