Provider Demographics
NPI:1932167905
Name:LEVIN, ERIC B (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:B
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 1:933 WEST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-5503
Mailing Address - Country:US
Mailing Address - Phone:610-272-3330
Mailing Address - Fax:610-272-7113
Practice Address - Street 1:933 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-5503
Practice Address - Country:US
Practice Address - Phone:610-272-3330
Practice Address - Fax:610-272-7113
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-006090-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0765746000Other2040164000
PA623826Medicare ID - Type Unspecified