Leva, Stacey Colleen
Leva, Stacey Colleen is an individual health care provider with primary practice located at 1225 E Coolspring Ave , Michigan City IN 46360-6312. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Leva, Stacey Colleen can be contacted via phone (219) 879-6531.Contact Information
Primary practice address
1225 E Coolspring Ave
Michigan City IN 46360-6312
Phone: (219) 879-6531
Fax: (219) 872-7869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02002919 | Indiana |
Profile Details
| NPI number | 1508864497 |
|---|---|
| LBN Legal business name | Leva, Stacey Colleen |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | May 22nd, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508864497 | NPPES |
| Indiana | MEDICAID | 200811020 |
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