Levan, Deborah Jo
Levan, Deborah Jo is an individual health care provider with primary practice located at 11885 E 12 Mile Rd Sutie #300A, Warren MI 48093-3474. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Levan, Deborah Jo can be contacted via phone (586) 582-6791.Contact Information
Primary practice address
11885 E 12 Mile Rd Sutie #300A
Warren MI 48093-3474
Phone: (586) 582-6791
Fax: (586) 582-6792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101007248 | Michigan |
Profile Details
| NPI number | 1700885407 |
|---|---|
| LBN Legal business name | Levan, Deborah Jo |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Sep 25th, 2013 - about 12 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 | 1700885407 | NPPES |
| Michigan | MEDICAID | 417185711 | |
| Michigan | Other | 700H270060 |
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