Levine, Jack M

Levine, Jack M is an sole proprietor health care provider with primary practice located at 375 Orange St , New Haven CT 06511-6406. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Levine, Jack M can be contacted via phone (203) 624-7571.

Contact Information

Primary practice address
375 Orange St New Haven CT 06511-6406
Fax: (203) 624-2675
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4665 Connecticut

Profile Details

NPI number 1164564464
LBN Legal business name Levine, Jack M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Nov 14th, 2016 - about 8 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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