Levine, Brian J

Levine, Brian J is an sole proprietor health care provider with primary practice located at 1712 W Anklam Rd Suite 103, Tucson AZ 85745-2660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Levine, Brian J can be contacted via phone (520) 622-7384.

Contact Information

Primary practice address
1712 W Anklam Rd Suite 103 Tucson AZ 85745-2660
Phone: (520) 622-7384
Fax: (520) 622-4899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 36043 Arizona

Profile Details

NPI number 1881814549
LBN Legal business name Levine, Brian J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2007
Last updated Jan 20th, 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 1881814549 NPPES
Arizona MEDICAID 222087
Arizona MEDICAID 222061
Arizona Other 36043

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