Severino, Timothy Daniel

Severino, Timothy Daniel is an individual health care provider with primary practice located at 1St Reconnaissance Battalion Aid Station 41 Area Camp Flores, Camp Pendleton CA 92055. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Severino, Timothy Daniel can be contacted via phone (760) 725-8912.

Contact Information

Primary practice address
1St Reconnaissance Battalion Aid Station 41 Area Camp Flores Camp Pendleton CA 92055
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X North Carolina

Profile Details

NPI number 1780055723
LBN Legal business name Severino, Timothy Daniel
Credentials SOIDC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2015
Last updated Oct 16th, 2015 - 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.

Request for update

Popular Providers