Severinghaus, John Merrill
Severinghaus, John Merrill is an sole proprietor health care provider with primary practice located at 2122 Lower Pln Merry Meadow Farm, Bradford VT 05033-8936. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Severinghaus, John Merrill can be contacted via phone (802) 222-4412.Contact Information
Primary practice address
2122 Lower Pln Merry Meadow Farm
Bradford VT 05033-8936
Phone: (802) 222-4412
Fax: (802) 222-5422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G36863 | California |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 7237 | New Hampshire |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 7237 | New Hampshire |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | Vermont | |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | Vermont |
Profile Details
| NPI number | 1891839403 |
|---|---|
| LBN Legal business name | Severinghaus, John Merrill |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1891839403 | NPPES |
| Vermont | MEDICAID | 00009936 |
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