Levine, Mathew
Levine, Mathew is an individual health care provider with primary practice located at 1100 Northside Forsyth Dr Suite 340, Cumming GA 30041-6012. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Levine, Mathew can be contacted via phone (770) 886-8111.Contact Information
Primary practice address
1100 Northside Forsyth Dr Suite 340
Cumming GA 30041-6012
Phone: (770) 886-8111
Fax: (770) 205-8539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | OT013214 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | OS015919 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | E-8622 | Arkansas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 074072 | Georgia |
Profile Details
| NPI number | 1053621078 |
|---|---|
| LBN Legal business name | Levine, Mathew |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2010 |
| Last updated | Oct 12th, 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 | 1053621078 | NPPES |
| Georgia | MEDICAID | 003167726B | |
| Georgia | MEDICAID | 003167726A |
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