Provider Demographics
NPI:1922101484
Name:LEVINE, ARTHUR DANIEL (DC)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:DANIEL
Last Name:LEVINE
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:PO BOX 7407
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-7407
Mailing Address - Country:US
Mailing Address - Phone:732-530-0405
Mailing Address - Fax:732-530-4195
Practice Address - Street 1:721 AUTH AVE STE 5
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-2965
Practice Address - Country:US
Practice Address - Phone:732-493-0110
Practice Address - Fax:732-493-0111
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00177700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LE037554Medicare UPIN
NJ037554Medicare ID - Type Unspecified