Mirabile Levens, Elizabeth A
Mirabile Levens, Elizabeth A is an individual health care provider with primary practice located at 170 Grandview Avenue , Waterbury CT 06708. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Mirabile Levens, Elizabeth A can be contacted via phone (203) 759-3666.Contact Information
Primary practice address
170 Grandview Avenue
Waterbury CT 06708
Phone: (203) 759-3666
Fax: (203) 759-3671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 040464 | Connecticut |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 040464 | Connecticut |
Profile Details
| NPI number | 1437234622 |
|---|---|
| LBN Legal business name | Mirabile Levens, Elizabeth A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Aug 10th, 2015 - about 10 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 | 1437234622 | NPPES |
| Connecticut | MEDICAID | 1404649 |
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