Sewell, Jeffrey William

Sewell, Jeffrey William is an individual health care provider with primary practice located at 2131 S Mobberly Ave , Longview TX 75602-3563. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Sewell, Jeffrey William can be contacted via phone (903) 758-2610.

Contact Information

Primary practice address
2131 S Mobberly Ave Longview TX 75602-3563
Phone: (903) 758-2610
Fax: (903) 212-7689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 37468 Colorado
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD2007-0623 New Mexico
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N7490 Texas

Profile Details

NPI number 1740288430
LBN Legal business name Sewell, Jeffrey William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Apr 26th, 2024 - about 7 months 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 1740288430 NPPES
Colorado MEDICAID 22102701

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