Michael Shane Severt in Chesterfield - Clinical
Michael Shane Severt - NPI 1063550523
Michael Shane Severt is a Clinical in Chesterfield, Virginia. Michael Shane Severt practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Shane Severt is 1063550523. The last update date is 2007-07-09.
Michael Shane Severt's current location address is 6801 Lucy Corr Ct, Chesterfield, Virginia. You can contact this provider via phone number 8047481227 and fax number 8047176659. The mailing address for Michael Shane Severt is 6801 Lucy Corr Ct, Chesterfield, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Shane Severt |
|---|---|
| Address | 6801 Lucy Corr Ct, Chesterfield, Virginia |
| Phone Number | 8047481227 |
| Fax Number | 8047176659 |
| Sole Proprietor | N |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1063550523 |
|---|---|
| Provider Enumeration Date | 2007-02-04 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 6801 Lucy Corr Ct |
|---|---|
| City | Chesterfield |
| State | Virginia (VA) |
| Post Code | 238326657 |
| Phone Number | 8047481227 |
| Fax Number | 8047176659 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904006025 |
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What is the unique identifier code issued to Michael Shane Severt by the Centers for Medicare & Medicaid Services?
The Michael Shane Severt has been assigned the NPI (National Provider Identifier) 1063550523. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Michael Shane Severt's facilities are situated?
The facilities of Michael Shane Severt are physically located at the following address: 6801 Lucy Corr Ct, Chesterfield, VA, 238326657.
What is the Michael Shane Severt's specialty and taxonomy code?
The Michael Shane Severt's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Michael Shane Severt receive its 1063550523 assignment from the Centers for Medicare & Medicaid Services?
The Michael Shane Severt was assigned its 1063550523 on 2007-02-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Michael Shane Severt most recently updated or revised?
The details related to Michael Shane Severt, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
NPI Number: 1972505162
Address: 1237 Salem Gate Drive, Conyers, GA