Sevensma, Matthew Warren
Sevensma, Matthew Warren is an individual health care provider with primary practice located at 2122 Health Dr Sw , Wyoming MI 49519-9698. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Sevensma, Matthew Warren can be contacted via phone (616) 252-5950.Contact Information
Primary practice address
2122 Health Dr Sw
Wyoming MI 49519-9698
Phone: (616) 252-5950
Fax: (616) 252-5956
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 5101014388 | Michigan |
Profile Details
| NPI number | 1255312302 |
|---|---|
| LBN Legal business name | Sevensma, Matthew Warren |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Dec 5th, 2017 - about 8 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 | 1255312302 | NPPES |
| Michigan | Other | 5101014388 | STATE LICENSE |
| Michigan | Other | P00245050 | STATE LICENSE |
| Michigan | Other | MS014388 | STATE LICENSE |
| Michigan | MEDICAID | 4729758 | STATE LICENSE |
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