Levick, Mitchell A
Levick, Mitchell A is an sole proprietor health care provider with primary practice located at 9201 Montgomery Blvd Ne Bldg 1 , Albuquerque NM 87111-2468. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Levick, Mitchell A can be contacted via phone (505) 342-0400.Contact Information
Primary practice address
9201 Montgomery Blvd Ne Bldg 1
Albuquerque NM 87111-2468
Phone: (505) 342-0400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 638 | New Mexico |
Profile Details
| NPI number | 1427019462 |
|---|---|
| LBN Legal business name | Levick, Mitchell A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Apr 11th, 2023 - about 2 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 | 1427019462 | NPPES |
| New Mexico | MEDICAID | P0269 |
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