Levy, Morton A

Levy, Morton A is an individual health care provider with primary practice located at 4000 North Illinois , Swansea IL 62226-1946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Levy, Morton A can be contacted via phone (618) 236-1000.

Contact Information

Primary practice address
4000 North Illinois Swansea IL 62226-1946
Fax: (618) 236-1299
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036-055967 Illinois

Profile Details

NPI number 1811999030
LBN Legal business name Levy, Morton A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 8th, 2007 - about 18 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 1811999030 NPPES
Illinois Other L77876 PIN
Illinois MEDICAID 028-0261043 PIN

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