Levine, Jonathan D

Levine, Jonathan D is an individual health care provider with primary practice located at 28 Crescent St , Middletown CT 06457-3654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Levine, Jonathan D can be contacted via phone (860) 344-6174.

Contact Information

Primary practice address
28 Crescent St Middletown CT 06457-3654
Phone: (860) 344-6174
Fax: (860) 344-6062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 031481 Connecticut

Profile Details

NPI number 1649200064
LBN Legal business name Levine, Jonathan D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 9th, 2007 - about 19 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 1649200064 NPPES
Connecticut Other 5024698 CIGNA#
Connecticut Other 4832 CIGNA#
Connecticut Other 500HBL066CT01 CIGNA#
Connecticut Other 0004400862 CIGNA#
Connecticut Other 001314814P1 CIGNA#

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