Provider Demographics
NPI:1528042785
Name:LEVINSOHN, MORRIS W (MD)
Entity Type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:W
Last Name:LEVINSOHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4212 STATE ROUTE 306
Mailing Address - Street 2:204
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-9258
Mailing Address - Country:US
Mailing Address - Phone:440-946-6725
Mailing Address - Fax:440-946-3526
Practice Address - Street 1:4212 STATE ROUTE 306
Practice Address - Street 2:204
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-9258
Practice Address - Country:US
Practice Address - Phone:440-946-6725
Practice Address - Fax:440-946-3526
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35034958L2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000133200OtherANTHEM BLUE CROSS BLUE SH
OH000000133200OtherUNICARE
OH0202560Medicaid
OH000000133200OtherANTHEM BLUE CROSS BLUE SH
OH0202560Medicaid