Severance, Andrew B

Severance, Andrew B is an individual health care provider with primary practice located at 9701 Ventnor Ave Ste 201 , Margate City NJ 08402-2222. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Severance, Andrew B can be contacted via phone (609) 822-4242.

Contact Information

Primary practice address
9701 Ventnor Ave Ste 201 Margate City NJ 08402-2222
Phone: (609) 822-4242
Fax: (609) 822-3211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 26NJ00281100 New Jersey

Profile Details

NPI number 1154358588
LBN Legal business name Severance, Andrew B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated May 17th, 2024 - about 6 months 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 1154358588 NPPES
New Jersey Other 222041639 TAX ID

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