Levine, Mark Roger
Levine, Mark Roger is an individual health care provider with primary practice located at 1611 S Green Rd Suite 306A, South Euclid OH 44121-4128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Levine, Mark Roger can be contacted via phone (219) 291-9770.Contact Information
Primary practice address
1611 S Green Rd Suite 306A
South Euclid OH 44121-4128
Phone: (219) 291-9770
Fax: (216) 297-0550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 35-02-9064-L | Ohio |
Profile Details
| NPI number | 1679531628 |
|---|---|
| LBN Legal business name | Levine, Mark Roger |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1679531628 | NPPES |
| Ohio | MEDICAID | 0181315 |
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