Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 20148 | TN |
NPI | 1013094028 |
---|---|
Provider Name | Dr. Jon Howard Levine |
First Address | Nashville, TN 37203-1845 |
Second Address | Nashville, TN 37203-1845 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 04/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D099392 | (02) | TN |