Levin, Jack N
Levin, Jack N is an sole proprietor health care provider with primary practice located at 1970 Laver Ct # 2 , Los Altos CA 94024-6767. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Levin, Jack N can be contacted via phone (650) 964-6314.Contact Information
Primary practice address
1970 Laver Ct # 2
Los Altos CA 94024-6767
Phone: (650) 964-6314
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | C32109 | California |
Profile Details
| NPI number | 1063634434 |
|---|---|
| LBN Legal business name | Levin, Jack N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1063634434 | NPPES |
| California | Other | C32109 | STATE LICENSE |
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