Levine, Michael K

Levine, Michael K is an individual health care provider with primary practice located at 1140 Hammond Dr Ne Suite E5250, Atlanta GA 30328-5338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Levine, Michael K can be contacted via phone (404) 256-2688.

Contact Information

Primary practice address
1140 Hammond Dr Ne Suite E5250 Atlanta GA 30328-5338
Phone: (404) 256-2688
Fax: (404) 256-1820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 010761 Georgia

Profile Details

NPI number 1780684811
LBN Legal business name Levine, Michael K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jul 8th, 2007 - about 18 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 1780684811 NPPES
Georgia MEDICAID 00696649A
Georgia MEDICAID 00696649C

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