Leventhal, John M

Leventhal, John M is an individual health care provider with primary practice located at 789 Howard Ave Ynhh Basement, New Haven CT 06519-1304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Leventhal, John M can be contacted via phone (203) 688-2468.

Contact Information

Primary practice address
789 Howard Ave Ynhh Basement New Haven CT 06519-1304
Fax: (203) 688-7274
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 020734 Connecticut

Profile Details

NPI number 1801879622
LBN Legal business name Leventhal, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Feb 13th, 2009 - about 17 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 1801879622 NPPES
Connecticut MEDICAID 001207349

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