Levine, Samuel C

Levine, Samuel C is an individual health care provider with primary practice located at 516 Delaware St Se Pwb 8Th Floor, Clinic 8A, Minneapolis MN 55455-0356. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otology & Neurotology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Levine, Samuel C can be contacted via phone (612) 626-5900.

Contact Information

Primary practice address
516 Delaware St Se Pwb 8Th Floor, Clinic 8A Minneapolis MN 55455-0356
Phone: (612) 626-5900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 30278 Minnesota
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 30278 Minnesota

Profile Details

NPI number 1508954181
LBN Legal business name Levine, Samuel C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Oct 26th, 2012 - about 12 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 1508954181 NPPES
Montana MEDICAID 0051221
Montana MEDICAID 274082600
Montana Other 10-00019
Montana Other 10-22589
Montana Other 2T080LE
Montana MEDICAID 30778200
Montana Other HP22089
Montana Other 100884
Montana Other 065524
Montana Other 607398
Montana Other 1009211

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