Severance, Jerry W

Severance, Jerry W is an individual health care provider with primary practice located at 1524 W. Lacey Blvd Suite 101, Hanford CA 93230. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Severance, Jerry W can be contacted via phone (559) 583-4511.

Contact Information

Primary practice address
1524 W. Lacey Blvd Suite 101 Hanford CA 93230
Phone: (559) 583-4511
Fax: (559) 583-4515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OPA141121 California

Profile Details

NPI number 1821042722
LBN Legal business name Severance, Jerry W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Oct 27th, 2010 - about 15 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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