Levine, Mark
Levine, Mark is an individual health care provider with primary practice located at 87 Main St , Essex Junction VT 05452-3234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Levine, Mark can be contacted via phone (802) 847-8354.Contact Information
Primary practice address
87 Main St
Essex Junction VT 05452-3234
Phone: (802) 847-8354
Fax: (802) 847-6575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 42-0008661 | Vermont |
Profile Details
| NPI number | 1790793214 |
|---|---|
| LBN Legal business name | Levine, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790793214 | NPPES |
| Vermont | MEDICAID | 0005419 |
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