Levine, Max Phillip

Levine, Max Phillip is an individual health care provider with primary practice located at 1037 Main St , Danville VA 24541-1815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Levine, Max Phillip can be contacted via phone (434) 792-6117.

Contact Information

Primary practice address
1037 Main St Danville VA 24541-1815
Phone: (434) 792-6117
Fax: (434) 792-4619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 0101048304 Virginia

Profile Details

NPI number 1255330783
LBN Legal business name Levine, Max Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 9th, 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 1255330783 NPPES
North Carolina MEDICAID 790573W
North Carolina Other 074218

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