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
Phone: (715) 839-9280
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 3 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 | 1245201532 | NPPES |
| Wisconsin | MEDICAID | 43504700 |
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