Severns, Cyril E

Severns, Cyril E is an individual health care provider with primary practice located at 7900 Dallas St , Fort Smith AR 72903-5690. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Severns, Cyril E can be contacted via phone (479) 242-6647.

Contact Information

Primary practice address
7900 Dallas St Fort Smith AR 72903-5690
Fax: (479) 250-0505
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X E2217 Arkansas

Profile Details

NPI number 1013904176
LBN Legal business name Severns, Cyril E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Mar 6th, 2023 - about last year

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 1013904176 NPPES
Arkansas MEDICAID 139030001

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