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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 1679531628 NPPES
Ohio MEDICAID 0181315

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