Severin, Matthew Joseph
Severin, Matthew Joseph is an sole proprietor health care provider with primary practice located at 5826 S 147Th St , Omaha NE 68137-2538. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Severin, Matthew Joseph can be contacted via phone (402) 895-4555.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5567 | Nebraska |
Profile Details
| NPI number | 1083603286 |
|---|---|
| LBN Legal business name | Severin, Matthew Joseph |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1083603286 | NPPES |
| Nebraska | MEDICAID | 47071622400 |
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