Provider Demographics
NPI:1033365721
Name:LEVY CARE GROUP PLLC
Entity Type:Organization
Organization Name:LEVY CARE GROUP PLLC
Other - Org Name:BALANCED HEALTH CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-684-6090
Mailing Address - Street 1:2910 OLD MONROE RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:STALLINGS
Mailing Address - State:NC
Mailing Address - Zip Code:28104-5010
Mailing Address - Country:US
Mailing Address - Phone:704-684-6090
Mailing Address - Fax:704-684-6091
Practice Address - Street 1:2910 OLD MONROE RD
Practice Address - Street 2:SUITE D
Practice Address - City:STALLINGS
Practice Address - State:NC
Practice Address - Zip Code:28104-5010
Practice Address - Country:US
Practice Address - Phone:704-684-6090
Practice Address - Fax:704-684-6091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-13
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3688111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCV12403Medicare UPIN