Levy, Gregg B

Levy, Gregg B is an sole proprietor health care provider with primary practice located at 3325 Northview Dr , Jackson MS 39216-3110. He recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as his primary health care specialty. Levy, Gregg B can be contacted via phone (601) 213-8010.

Contact Information

Primary practice address
3325 Northview Dr Jackson MS 39216-3110
Fax: (601) 362-6124
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X 376S00000X Mississippi

Profile Details

NPI number 1053622134
LBN Legal business name Levy, Gregg B
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2010
Last updated Jun 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053622134 NPPES
Mississippi MEDICAID 00630357

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