Provider Demographics
NPI:1528006517
Name:BRIAN E LEVE MD INC
Entity Type:Organization
Organization Name:BRIAN E LEVE MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:LEVE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-689-6319
Mailing Address - Street 1:135 N EWING ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-3382
Mailing Address - Country:US
Mailing Address - Phone:740-689-6319
Mailing Address - Fax:740-689-6320
Practice Address - Street 1:135 N EWING ST
Practice Address - Street 2:SUITE 206
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-3382
Practice Address - Country:US
Practice Address - Phone:740-689-6319
Practice Address - Fax:740-689-6320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2441361Medicaid
OH2441361Medicaid
OHH51714Medicare UPIN