Severson, Gregory C

Severson, Gregory C is an individual health care provider with primary practice located at 17675 Welch Plz , Omaha NE 68135-3551. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Severson, Gregory C can be contacted via phone (402) 354-7600.

Contact Information

Primary practice address
17675 Welch Plz Omaha NE 68135-3551
Phone: (402) 354-7600
Fax: (402) 354-7605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 13151 Nebraska

Profile Details

NPI number 1730299868
LBN Legal business name Severson, Gregory C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Sep 10th, 2018 - about 6 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 1730299868 NPPES
Iowa MEDICAID 0938571
Iowa MEDICAID 1002546400
Iowa MEDICAID 47068731785
Iowa MEDICAID 47068731796

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