Individual
COREY SEVIGNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 WEST ST, CONCORD, NH 03301-3548
(603) 225-0123
Mailing address
PO BOX 2032, CONCORD, NH 03302-2032
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000023532
BMC
MA
01
—
042611055
TAX ID
MA
01
—
10047445
FALLON
MA
01
—
1004745
NHP
MA
01
—
1303287
MBHP
MA
01
—
99618201
NETWORK HEALTH
MA
01
—
M18633
BCBS
MA
Enumeration date
10/03/2019
Last updated
10/25/2022
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