Levinson, Ilan S

Levinson, Ilan S is an sole proprietor health care provider with primary practice located at 1172 West Main Street , Stroudsburg PA 18360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Levinson, Ilan S can be contacted via phone (570) 424-6187.

Contact Information

Primary practice address
1172 West Main Street Stroudsburg PA 18360
Phone: (570) 424-6187
Fax: (570) 424-6271
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD055185L Pennsylvania
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD01855L Pennsylvania

Profile Details

NPI number 1982625000
LBN Legal business name Levinson, Ilan S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2006
Last updated Oct 15th, 2015 - about 9 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 1982625000 NPPES
Pennsylvania MEDICAID 0015426100005
Pennsylvania MEDICAID 001542610000S
Pennsylvania Other 0000789615

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