Severson, Michelle Rebecca

Severson, Michelle Rebecca is an individual health care provider with primary practice located at 920 Tanyard Rd Suite 102, Rocky Mount VA 24151-1543. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Severson, Michelle Rebecca can be contacted via phone (540) 483-3678.

Contact Information

Primary practice address
920 Tanyard Rd Suite 102 Rocky Mount VA 24151-1543
Phone: (540) 483-3678
Fax: (540) 483-3820
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0104556868 Virginia
Chiropractic Providers / Chiropractor 111N00000X DC010498 Pennsylvania

Profile Details

NPI number 1780916122
LBN Legal business name Severson, Michelle Rebecca
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2010
Last updated Mar 14th, 2017 - about 8 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 1780916122 NPPES
Virginia Other C05545 MEDICARE GROUP PTAN

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