Provider Demographics
NPI:1518917376
Name:LEVI, MARCIA BOYCE (DC)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:BOYCE
Last Name:LEVI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14205 PARK CENTER DR STE 207
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5252
Mailing Address - Country:US
Mailing Address - Phone:013-362-5868
Mailing Address - Fax:301-362-5869
Practice Address - Street 1:14205 PARK CENTER DR STE 207
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5252
Practice Address - Country:US
Practice Address - Phone:301-362-5868
Practice Address - Fax:301-362-5869
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS02192111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD64331102OtherBCBS
MDG02137O01Medicare PIN