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
Phone: (203) 624-7571
Fax: (203) 624-2675
Website:
Health care specialties
| Specialty | Code | License # | 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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