Severson, Kristin Anne

Severson, Kristin Anne is an individual health care provider with primary practice located at 3802 Oakwood Mall Dr , Eau Claire WI 54701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Severson, Kristin Anne can be contacted via phone (715) 839-9280.

Contact Information

Primary practice address
3802 Oakwood Mall Dr Eau Claire WI 54701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 43376 Wisconsin

Profile Details

NPI number 1245201532
LBN Legal business name Severson, Kristin Anne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Feb 9th, 2022 - about 2 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 1245201532 NPPES
Wisconsin MEDICAID 43504700

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