Levan, Ellen
Levan, Ellen is an sole proprietor health care provider with primary practice located at 26-01 Pellack Drive 2Nd Floor, Fair Lawn NJ 07410. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Levan, Ellen can be contacted via phone (201) 791-9340.Contact Information
Primary practice address
26-01 Pellack Drive 2Nd Floor
Fair Lawn NJ 07410
Phone: (201) 791-9340
Fax: (201) 791-9481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA07184800 | New Jersey |
Profile Details
| NPI number | 1710960927 |
|---|---|
| LBN Legal business name | Levan, Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Oct 24th, 2012 - 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 | 1710960927 | NPPES |
| New York | MEDICAID | 01696226 |
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