Levin, Fred Alan
Levin, Fred Alan is an individual health care provider with primary practice located at 1269 Wellbrook Cir Ne , Conyers GA 30012-3873. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Levin, Fred Alan can be contacted via phone (770) 922-0505.Contact Information
Primary practice address
1269 Wellbrook Cir Ne
Conyers GA 30012-3873
Phone: (770) 922-0505
Fax: (770) 922-1870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 022434 | Georgia |
Profile Details
| NPI number | 1962420083 |
|---|---|
| LBN Legal business name | Levin, Fred Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jun 11th, 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 | 1962420083 | NPPES |
| Georgia | MEDICAID | 00222219A |
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