James Melvin Severson
LBN: Ear Nose & Throat Specialists Of Rockford Sc
James Melvin Severson is an health care organization with primary practice located at 435 N Mulford Rd Suite 10, Rockford IL 61107-5189. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty.
Ear Nose & Throat Specialists Of Rockford Sc can be contacted via phone (815) 399-5268, or through Severson, James Melvin via phone (815) 399-5268.
Contact Information
Primary practice address
435 N Mulford Rd Suite 10
Rockford IL 61107-5189
Phone: (815) 399-5268
Fax: (815) 399-3623
Website:
Authorized official contact:
Name: Severson, James Melvin Doctor of Medicine (MD)
Phone: (815) 399-5268
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | 036067207 | Illinois |
Profile Details
| NPI number | 1740491745 |
|---|---|
| LBN Legal business name | Ear Nose & Throat Specialists Of Rockford Sc |
| DBA Doing business as | James Melvin Severson |
| Authorized official | Severson, James Melvin Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 24th, 2007 |
| Last updated | Mar 27th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740491745 | NPPES |
| Illinois | MEDICAID | 036067207 |
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