Levine, Tana M
Levine, Tana M is an individual health care provider with primary practice located at 2451 Pratt St , Longmont CO 80501-1123. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Levine, Tana M can be contacted via phone (303) 776-5000.Contact Information
Primary practice address
2451 Pratt St
Longmont CO 80501-1123
Phone: (303) 776-5000
Fax: (706) 270-0487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 40131 | Colorado |
Profile Details
| NPI number | 1831161108 |
|---|---|
| LBN Legal business name | Levine, Tana M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jun 18th, 2020 - about 6 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 | 1831161108 | NPPES |
| Colorado | MEDICAID | 37085832 |
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