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
Phone: (201) 791-8689
Fax: (201) 791-2589
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215085360 | NPPES |
| New Jersey | MEDICAID | 8296804 |
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