Levy, Jay Berry
Levy, Jay Berry is an individual health care provider with primary practice located at 3125 Springbank Ln Suite E, Charlotte NC 28226-3378. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Levy, Jay Berry can be contacted via phone (704) 381-3510.Contact Information
Primary practice address
3125 Springbank Ln Suite E
Charlotte NC 28226-3378
Phone: (704) 381-3510
Fax: (704) 540-3668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 9600282 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | 18483 | South Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | 9600282 | North Carolina |
Profile Details
| NPI number | 1003895954 |
|---|---|
| LBN Legal business name | Levy, Jay Berry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Oct 13th, 2014 - about 11 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 | 1003895954 | NPPES |
| South Carolina | MEDICAID | N00282 | |
| South Carolina | MEDICAID | 8951818 | |
| South Carolina | MEDICAID | 1003895954 | |
| South Carolina | Other | 5953113 | |
| South Carolina | Other | 63276 |
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