Syverson, Dale Lowell

Syverson, Dale Lowell is an sole proprietor health care provider with primary practice located at 1825 Main Street , Susanville CA 96130. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Syverson, Dale Lowell can be contacted via phone (530) 252-4115.

Contact Information

Primary practice address
1825 Main Street Susanville CA 96130
Phone: (530) 252-4115
Fax: (530) 252-4117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G87246 California
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X G87246 California

Profile Details

NPI number 1841360591
LBN Legal business name Syverson, Dale Lowell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
Last updated Aug 8th, 2011 - about 14 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 1841360591 NPPES
California MEDICAID 00G6872460

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