Levine, Selwyn E

Levine, Selwyn E is an sole proprietor health care provider with primary practice located at 200 Grand Ave Suite 102, Englewood NJ 07631-4363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Levine, Selwyn E can be contacted via phone (201) 871-3636.

Contact Information

Primary practice address
200 Grand Ave Suite 102 Englewood NJ 07631-4363
Fax: (201) 871-2286
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MA49508 New Jersey

Profile Details

NPI number 1184692105
LBN Legal business name Levine, Selwyn E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Nov 7th, 2011 - about 14 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 1184692105 NPPES
New Jersey MEDICAID 0715701

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