Levin, Mark David
Levin, Mark David is an individual health care provider with primary practice located at 1100 Wilford Hall Loop , Lackland Afb TX 78236-5638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Levin, Mark David can be contacted via phone (210) 292-2055.Contact Information
Primary practice address
1100 Wilford Hall Loop
Lackland Afb TX 78236-5638
Phone: (210) 292-2055
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 81935 | Massachusetts |
Profile Details
| NPI number | 1306822937 |
|---|---|
| LBN Legal business name | Levin, Mark David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Jul 19th, 2021 - about 3 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 | 1306822937 | NPPES |
| Massachusetts | MEDICAID | 3180344 |
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