Levitsky, David Randolph
Levitsky, David Randolph is an sole proprietor health care provider with primary practice located at 1671 W Michigan Ave Ste C-1, Clinton MI 49236-8702. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Levitsky, David Randolph can be contacted via phone (517) 456-4114.Contact Information
Primary practice address
1671 W Michigan Ave Ste C-1
Clinton MI 49236-8702
Phone: (517) 456-4114
Fax: (517) 456-4114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 5901000792 | Michigan |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 0504 | Nevada |
Profile Details
| NPI number | 1841395183 |
|---|---|
| LBN Legal business name | Levitsky, David Randolph |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Aug 25th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841395183 | NPPES |
| Michigan | Other | 5067480002 | DMERC |
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