Levine, Jerry Isadore
Levine, Jerry Isadore is an individual health care provider with primary practice located at 5900 Waterloo Rd Ste 200 , Columbia MD 21045-2641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Levine, Jerry Isadore can be contacted via phone (410) 740-2900.Contact Information
Primary practice address
5900 Waterloo Rd Ste 200
Columbia MD 21045-2641
Phone: (410) 740-2900
Fax: (410) 992-0732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0022856 | Maryland |
Profile Details
| NPI number | 1295736429 |
|---|---|
| LBN Legal business name | Levine, Jerry Isadore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Mar 13th, 2023 - about 3 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 | 1295736429 | NPPES |
| Maryland | Other | 1865815 | CIGNA PIN |
| Maryland | Other | 4238661 | CIGNA PIN |
| Maryland | Other | 3509-0004 | CIGNA PIN |
| Maryland | Other | 843368 | CIGNA PIN |
| Maryland | Other | 243368 | CIGNA PIN |
| Maryland | Other | 020550 | CIGNA PIN |
| Maryland | Other | P12725 | CIGNA PIN |
| Maryland | Other | 110142478 | CIGNA PIN |
| Maryland | Other | 0477651 | CIGNA PIN |
| Maryland | Other | 366910-01 | CIGNA PIN |
| Maryland | MEDICAID | 780581100 | CIGNA PIN |
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