Levine, Michael G

Levine, Michael G is an individual health care provider with primary practice located at 11 Old Park Ln , New Milford CT 06776-2507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Levine, Michael G can be contacted via phone (860) 355-1149.

Contact Information

Primary practice address
11 Old Park Ln New Milford CT 06776-2507
Phone: (860) 355-1149
Fax: (860) 355-5957
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 34504 Connecticut

Profile Details

NPI number 1982676862
LBN Legal business name Levine, Michael G
Credentials M.D., FACC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 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 1982676862 NPPES
Connecticut Other 010034504CT04 ANTHEM BC/BS
Connecticut Other P984475 ANTHEM BC/BS
Connecticut Other 1033381 ANTHEM BC/BS
Connecticut Other OV8004 ANTHEM BC/BS
Connecticut Other 714079-5104 ANTHEM BC/BS

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