Lavine, David Alan

Lavine, David Alan is an individual health care provider with primary practice located at 26400 Outer Dr , Lincoln Park MI 48146-2088. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Lavine, David Alan can be contacted via phone (313) 594-6000.

Contact Information

Primary practice address
26400 Outer Dr Lincoln Park MI 48146-2088
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 5101010468 Michigan

Profile Details

NPI number 1144228214
LBN Legal business name Lavine, David Alan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jan 19th, 2010 - 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 1144228214 NPPES
Michigan MEDICAID 4490527

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