Kristoferson, John Severin
Kristoferson, John Severin is an individual health care provider with primary practice located at 3325 Medpark Dr , Denton TX 76210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kristoferson, John Severin can be contacted via phone (940) 382-6757.Contact Information
Primary practice address
3325 Medpark Dr
Denton TX 76210
Phone: (940) 382-6757
Fax: (940) 383-1894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | TXF6842 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | F6842 | Texas |
Profile Details
| NPI number | 1235124314 |
|---|---|
| LBN Legal business name | Kristoferson, John Severin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Aug 20th, 2018 - about 6 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 | 1235124314 | NPPES |
| Texas | Other | 200002820 | PALMETTO GBA |
| Texas | Other | 8J2030 | PALMETTO GBA |
| Texas | Other | 0020KD | PALMETTO GBA |
| Texas | Other | 0474740001 | PALMETTO GBA |
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