Levykh-Chase, Rena

Levykh-Chase, Rena is an sole proprietor health care provider with primary practice located at 19-21 Fair Lawn Ave , Fair Lawn NJ 07410-2331. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Levykh-Chase, Rena can be contacted via phone (201) 791-8689.

Contact Information

Primary practice address
19-21 Fair Lawn Ave Fair Lawn NJ 07410-2331
Fax: (201) 791-2589
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA69109 New Jersey

Profile Details

NPI number 1215085360
LBN Legal business name Levykh-Chase, Rena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jan 15th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215085360 NPPES
New Jersey MEDICAID 8296804

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