Provider Demographics
NPI:1003864224
Name:ERDOGAN, LEVENT
Entity Type:Individual
Prefix:
First Name:LEVENT
Middle Name:
Last Name:ERDOGAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 E AFTON AVE
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-1401
Mailing Address - Country:US
Mailing Address - Phone:215-321-0505
Mailing Address - Fax:215-321-0545
Practice Address - Street 1:25 E AFTON AVE
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-1401
Practice Address - Country:US
Practice Address - Phone:215-321-0505
Practice Address - Fax:215-321-0545
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005449-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA165298Medicare PIN
PAU44756Medicare UPIN