Provider Demographics
NPI:1407027535
Name:LEVAN, WILLIAM DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DAVID
Last Name:LEVAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 BRIARSDALE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-5900
Mailing Address - Country:US
Mailing Address - Phone:717-558-0243
Mailing Address - Fax:717-558-9878
Practice Address - Street 1:1000 BRIARSDALE RD
Practice Address - Street 2:SUITE B
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-5900
Practice Address - Country:US
Practice Address - Phone:717-558-0243
Practice Address - Fax:717-558-9878
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005251L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
02894600OtherCAPITAL BLUE CROSS
PA004727Medicare PIN