Levine, Jack Sanford

Levine, Jack Sanford is an sole proprietor health care provider with primary practice located at 750 Terrado Plz Suite 246, Covina CA 91723-3419. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Levine, Jack Sanford can be contacted via phone (626) 915-0933.

Contact Information

Primary practice address
750 Terrado Plz Suite 246 Covina CA 91723-3419
Phone: (626) 915-0933
Fax: (626) 339-2885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY6826 California

Profile Details

NPI number 1437284239
LBN Legal business name Levine, Jack Sanford
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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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