Severa, Jeffrey F

Severa, Jeffrey F is an individual health care provider with primary practice located at 105 Mark Dr , Edenton NC 27932-1704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Severa, Jeffrey F can be contacted via phone (252) 482-3047.

Contact Information

Primary practice address
105 Mark Dr Edenton NC 27932-1704
Phone: (252) 482-3047
Fax: (252) 482-5061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200400743 North Carolina

Profile Details

NPI number 1215928403
LBN Legal business name Severa, Jeffrey F
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Mar 21st, 2016 - about 9 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 1215928403 NPPES
North Carolina Other 137KR BCBS NC
North Carolina MEDICAID 89137KR BCBS NC

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