Levine, Michael Jay

Levine, Michael Jay is an sole proprietor health care provider with primary practice located at 914 W Center Ave , Visalia CA 93291-5916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Levine, Michael Jay can be contacted via phone (559) 625-5833.

Contact Information

Primary practice address
914 W Center Ave Visalia CA 93291-5916
Phone: (559) 625-5833
Fax: (559) 625-5418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G18859 California

Profile Details

NPI number 1184617813
LBN Legal business name Levine, Michael Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2005
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 1184617813 NPPES
California MEDICAID 00G188590

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