Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 0101243944 | VA |
N | 207T00000X | Neurosurgeon | 2010-00495 | NC |
N | 207T00000X | Neurosurgeon | 24324 | WV |
Y | 207T00000X | Neurosurgeon | 35.096669 | OH |
N | 207T00000X | Neurosurgeon | 48271 | WI |
N | 207T00000X | Neurosurgeon | MD429419 | PA |
NPI | 1043270408 |
---|---|
Provider Name | Charles Lewis Levy |
First Address | Marietta, OH 45750-0449 |
Second Address | Marietta, OH 45750-1644 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2006 |
Last Update Date | 22/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3119511 | (05) | OH |
3810019725 | (05) | WV |
P01646135 | RAILROAD MEDICARE MHCPI (01) | OH |