Levine, Jonathan Eliot

Levine, Jonathan Eliot is an individual health care provider with primary practice located at 6151 S Yale Ave , Tulsa OK 74136-1907. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Levine, Jonathan Eliot can be contacted via phone (918) 494-5300.

Contact Information

Primary practice address
6151 S Yale Ave Tulsa OK 74136-1907
Fax: (918) 494-5455
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23010 Oklahoma
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 23010 Oklahoma

Profile Details

NPI number 1558360305
LBN Legal business name Levine, Jonathan Eliot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Mar 14th, 2018 - about 6 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 1558360305 NPPES
Oklahoma MEDICAID 100120130A

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