Provider Demographics
NPI:1780603282
Name:SEVER, WILBUR E III (DO)
Entity type:Individual
Prefix:
First Name:WILBUR
Middle Name:E
Last Name:SEVER
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:BILL
Other - Middle Name:
Other - Last Name:SEVER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:4439 STATE ROUTE 159 STE 270
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-7502
Mailing Address - Country:US
Mailing Address - Phone:740-779-4550
Mailing Address - Fax:740-779-4569
Practice Address - Street 1:4439 STATE ROUTE 159 STE 270
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-7502
Practice Address - Country:US
Practice Address - Phone:740-779-4550
Practice Address - Fax:740-779-4569
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.008538208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2596641Medicaid
OHSE4168135Medicare PIN
OHI40548Medicare UPIN