Severt, Raymond
Severt, Raymond is an sole proprietor health care provider with primary practice located at 1144 Sonoma Ave Suite 121, Santa Rosa CA 95405-4812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Severt, Raymond can be contacted via phone (707) 978-4322.Contact Information
Primary practice address
1144 Sonoma Ave Suite 121
Santa Rosa CA 95405-4812
Phone: (707) 978-4322
Fax: (707) 538-2519
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G63482 | California |
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | G63482 | California |
Profile Details
NPI number | 1003854159 |
---|---|
LBN Legal business name | Severt, Raymond |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 2nd, 2006 |
Last updated | Jul 7th, 2015 - about 10 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 | 1003854159 | NPPES |
California | MEDICAID | 00G634820 | |
California | Other | 1003854159 |
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