Levine, Jay M

Levine, Jay M is an individual health care provider with primary practice located at 1508 Willow Lawn Dr Ste 117, Richmond VA 23230-3421. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Levine, Jay M can be contacted via phone (804) 288-8102.

Contact Information

Primary practice address
1508 Willow Lawn Dr Ste 117 Richmond VA 23230-3421
Fax: (804) 282-3744
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 0101028947 Virginia
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 0101028947 Virginia
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 0101028947 Virginia
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 0101028947 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101028947 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 0101028947 Virginia

Profile Details

NPI number 1912970278
LBN Legal business name Levine, Jay M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Apr 25th, 2008 - about 16 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 1912970278 NPPES
Virginia MEDICAID 007209908
Virginia MEDICAID 007238142
Virginia MEDICAID 007216386
Virginia MEDICAID 010252369
Virginia MEDICAID 007200901
Virginia MEDICAID 007200897
Virginia Other 224564

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