Levine, Jeffrey D

Levine, Jeffrey D is an sole proprietor health care provider with primary practice located at 372 Chandler St , Worcester MA 01602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Levine, Jeffrey D can be contacted via phone (508) 752-4669.

Contact Information

Primary practice address
372 Chandler St Worcester MA 01602
Phone: (508) 752-4669
Fax: (508) 767-1897
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 48153 Massachusetts

Profile Details

NPI number 1295724631
LBN Legal business name Levine, Jeffrey D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2005
Last updated May 2nd, 2011 - 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 1295724631 NPPES
Other 4020015 AETNA
MEDICAID 0152463 AETNA
Other N01936 AETNA
Other 048153 AETNA
Other 15504 AETNA
Other 999510 AETNA
Other 0004191 AETNA

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