Levinson, Michael J

Levinson, Michael J is an individual health care provider with primary practice located at 982 E Main St , Bridgeport CT 06608-1913. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Levinson, Michael J can be contacted via phone (203) 696-3270.

Contact Information

Primary practice address
982 E Main St Bridgeport CT 06608-1913
Phone: (203) 696-3270
Fax: (203) 334-8104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 005321 Connecticut

Profile Details

NPI number 1619940962
LBN Legal business name Levinson, Michael J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Aug 20th, 2013 - 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 1619940962 NPPES
Connecticut MEDICAID 002053213

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