Provider Demographics
NPI:1720258015
Name:STEVEN L LEVINE DC PC
Entity Type:Organization
Organization Name:STEVEN L LEVINE DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-788-6091
Mailing Address - Street 1:751 E UNION HILLS DR
Mailing Address - Street 2:SUITE 7
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-2978
Mailing Address - Country:US
Mailing Address - Phone:602-788-6091
Mailing Address - Fax:602-485-8276
Practice Address - Street 1:751 E UNION HILLS DR
Practice Address - Street 2:SUITE 7
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-2978
Practice Address - Country:US
Practice Address - Phone:602-788-6091
Practice Address - Fax:602-485-8276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDC 5431261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZU57864Medicare UPIN
AZDC102417Medicare PIN