Levenda, Jeffrey P.

Levenda, Jeffrey P. is an individual health care provider with primary practice located at 7980 W Jefferson Blvd , Fort Wayne IN 46804-4170. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Levenda, Jeffrey P. can be contacted via phone (260) 478-5210.

Contact Information

Primary practice address
7980 W Jefferson Blvd Fort Wayne IN 46804-4170
Phone: (260) 478-5210
Fax: (260) 478-5240
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 01070886A Indiana

Profile Details

NPI number 1619298411
LBN Legal business name Levenda, Jeffrey P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2010
Last updated Oct 13th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619298411 NPPES
Indiana MEDICAID 201063910

Popular Providers