Severin, Sanford Lewis

Severin, Sanford Lewis is an sole proprietor health care provider with primary practice located at 5801 Norris Canyon Rd Ste 200, San Ramon CA 94583-5440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Severin, Sanford Lewis can be contacted via phone (925) 830-8823.

Contact Information

Primary practice address
5801 Norris Canyon Rd Ste 200 San Ramon CA 94583-5440
Phone: (925) 830-8823
Fax: (925) 866-6610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X OOC236190 California

Profile Details

NPI number 1063417814
LBN Legal business name Severin, Sanford Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2005
Last updated Mar 8th, 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 1063417814 NPPES
California Other 0708 MEDICAL EYE SERVICES
California MEDICAID CGP164916 MEDICAL EYE SERVICES
California Other ZZZ057067 MEDICAL EYE SERVICES
California Other ZZZ05706Z MEDICAL EYE SERVICES
California Other 180046438 MEDICAL EYE SERVICES

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