Levine, Tana M

Levine, Tana M is an individual health care provider with primary practice located at 2451 Pratt St , Longmont CO 80501-1123. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Levine, Tana M can be contacted via phone (303) 776-5000.

Contact Information

Primary practice address
2451 Pratt St Longmont CO 80501-1123
Fax: (706) 270-0487
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 40131 Colorado

Profile Details

NPI number 1831161108
LBN Legal business name Levine, Tana M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jun 18th, 2020 - about 4 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 1831161108 NPPES
Colorado MEDICAID 37085832

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