Provider Demographics
NPI:1548401524
Name:LEVIN, PHILLIP ALAN (DC)
Entity Type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:ALAN
Last Name:LEVIN
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 1:24 OLD STEVENS LN
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3430
Mailing Address - Country:US
Mailing Address - Phone:856-435-7840
Mailing Address - Fax:
Practice Address - Street 1:600 SOMERDALE RD
Practice Address - Street 2:SUITE 206 ECHELON MED. CTR.
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-1858
Practice Address - Country:US
Practice Address - Phone:956-795-4925
Practice Address - Fax:856-795-5164
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-20
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC02242111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic