Levitt, Gwen A

Levitt, Gwen A is an individual health care provider with primary practice located at 6015 W Peoria Ave , Glendale AZ 85302-1213. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Levitt, Gwen A can be contacted via phone (623) 344-4400.

Contact Information

Primary practice address
6015 W Peoria Ave Glendale AZ 85302-1213
Fax: (623) 344-4450
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2656 Arizona

Profile Details

NPI number 1871532697
LBN Legal business name Levitt, Gwen A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jan 13th, 2009 - about 15 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 1871532697 NPPES
Arizona MEDICAID 193441

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