Levine, Edward Allen

Levine, Edward Allen is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Levine, Edward Allen can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Fax: (336) 716-6637
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 9801353 North Carolina
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 9801353 North Carolina
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 9801353 North Carolina

Profile Details

NPI number 1275518334
LBN Legal business name Levine, Edward Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Nov 12th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275518334 NPPES
Virginia MEDICAID 7311052
Virginia Other 81807
Virginia Other 5879653
Virginia MEDICAID 8911366
Virginia MEDICAID Q01354
Virginia Other 11366
Virginia Other 26889
Virginia MEDICAID 1800028000

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