Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 35-063360 | OH |
Y | 208600000X | Surgeon | 35-063360 | OH |
N | 2082S0105X | Plastic Hand Surgeon | 35-063360 | OH |
NPI | 1851372072 |
---|---|
Provider Name | Dr. Edward A Levy |
First Address | Avon Lake, OH 44012-2930 |
Second Address | Avon, OH 44011-1390 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 24/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0975477 | (05) | OH |
341775196-00 | BWC (01) | OH |
F27143 | (02) | OH |