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:
Health care specialties
| Specialty | Code | License # | 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 8 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 | 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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