Sevilla, Richard

Sevilla, Richard is an individual health care provider with primary practice located at 1801 E March Ln , Stockton CA 95210-6629. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Sevilla, Richard can be contacted via phone (209) 464-6422.

Contact Information

Primary practice address
1801 E March Ln Stockton CA 95210-6629
Fax: (209) 464-0913
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 495538 California

Profile Details

NPI number 1932285921
LBN Legal business name Sevilla, Richard
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Nov 14th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932285921 NPPES
California Other 495538 LICENSE

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