Levine, Keith A.

Levine, Keith A. is an sole proprietor health care provider with primary practice located at 3180 N Point Pkwy Ste 207, Alpharetta GA 30005-4381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Levine, Keith A. can be contacted via phone (404) 446-2800.

Contact Information

Primary practice address
3180 N Point Pkwy Ste 207 Alpharetta GA 30005-4381
Fax: (404) 446-2809
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 022583 Georgia

Profile Details

NPI number 1316962517
LBN Legal business name Levine, Keith A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Jun 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316962517 NPPES
Georgia MEDICAID 000244769C
Georgia MEDICAID 00244769A

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