Leviss, Jonathan A

Leviss, Jonathan A is an individual health care provider with primary practice located at 375 Wampanoag Trl , Riverside RI 02915-2232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Leviss, Jonathan A can be contacted via phone (401) 649-4020.

Contact Information

Primary practice address
375 Wampanoag Trl Riverside RI 02915-2232
Phone: (401) 649-4020
Fax: (401) 649-4021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD11650 Rhode Island

Profile Details

NPI number 1013973627
LBN Legal business name Leviss, Jonathan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Mar 23rd, 2023 - about last year

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 1013973627 NPPES
Rhode Island MEDICAID 7057660
Rhode Island MEDICAID 110127773A

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