Levine, Mark
Levine, Mark is an sole proprietor health care provider with primary practice located at 38 Timberline Rd , New Hartford CT 06057-3324. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Levine, Mark can be contacted via phone (860) 000-0000.Contact Information
Primary practice address
38 Timberline Rd
New Hartford CT 06057-3324
Phone: (860) 000-0000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 851 | Connecticut |
Profile Details
| NPI number | 1891783643 |
|---|---|
| LBN Legal business name | Levine, Mark |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Aug 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891783643 | NPPES |
| Connecticut | MEDICAID | 004099306 |
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