Provider Demographics
NPI:1568472272
Name:LEVIN, JOSHUA AARON (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:AARON
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 1:3350 WILKENS AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-4615
Mailing Address - Country:US
Mailing Address - Phone:410-737-8193
Mailing Address - Fax:
Practice Address - Street 1:3350 WILKENS AVE STE 101
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-4615
Practice Address - Country:US
Practice Address - Phone:410-737-8193
Practice Address - Fax:410-737-8069
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02150111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD403792800Medicaid
MDU96791Medicare UPIN