Levine, Elaine S.

Levine, Elaine S. is an sole proprietor health care provider with primary practice located at 1395 Missouri Ave , Las Cruces NM 88001-5327. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Prescribing (Medical). Behavioral Health & Social Service Providers / Prescribing (Medical) is her primary health care specialty. Levine, Elaine S. can be contacted via phone (505) 522-5466.

Contact Information

Primary practice address
1395 Missouri Ave Las Cruces NM 88001-5327
Phone: (505) 522-5466
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 189 New Mexico
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 0001 New Mexico

Profile Details

NPI number 1851426159
LBN Legal business name Levine, Elaine S.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2007
Last updated Dec 9th, 2022 - about 4 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 1851426159 NPPES
New Mexico MEDICAID VNM0191
New Mexico MEDICAID 0000N5897

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