Provider Demographics
NPI:1487855912
Name:LEVERMANN, JODI ANN
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:ANN
Last Name:LEVERMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1452 S FORT THOMAS AVE
Mailing Address - Street 2:
Mailing Address - City:FORT THOMAS
Mailing Address - State:KY
Mailing Address - Zip Code:41075-2412
Mailing Address - Country:US
Mailing Address - Phone:859-781-0409
Mailing Address - Fax:
Practice Address - Street 1:1452 S FORT THOMAS AVE
Practice Address - Street 2:
Practice Address - City:FORT THOMAS
Practice Address - State:KY
Practice Address - Zip Code:41075-2412
Practice Address - Country:US
Practice Address - Phone:859-781-0409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist