Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 35033845 | OH |
NPI | 1487845277 |
---|---|
Provider Name | Dr. Howard L Levine |
First Address | Cleveland, OH 44124-2299 |
Second Address | Garfield Heights, OH 44125-5371 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2007 |
Last Update Date | 15/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0295710 | (05) | OH |
35033845 | MEDICAL LICENSE (01) | OH |
A75312 | (02) | OH |