Glenn Laurence Levine in Coquille - Surgery

Glenn Laurence Levine - NPI 1801814769

Glenn Laurence Levine is a Surgery in Coquille, Oregon. Glenn Laurence Levine practices all healthcare services and medical treatments related to Surgery. The NPI Number for Glenn Laurence Levine is 1801814769. The last update date is 2021-12-21.

Glenn Laurence Levine's current location address is 790 E 5th St, Coquille, Oregon. You can contact this provider via phone number 5413963111 and fax number 5413965891. The mailing address for Glenn Laurence Levine is 790 E 5th St, Coquille, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Glenn Laurence Levine
Address 790 E 5th St, Coquille, Oregon
Phone Number 5413963111
Fax Number 5413965891
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1801814769
Provider Enumeration Date 2006-07-18
Last Updated Date 2021-12-21

Provider Mailing Address Detail

Address 790 E 5th St
City Coquille
State Oregon (OR)
Post Code 97423
Phone Number 5413963111
Fax Number 5413965891

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No MD162422
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
R00000ZGBDG OR CURRY MEDICAL PRACTICE / CURRY
500662335 OR --
93-0937095 OR CURRY HEALTH DISTRICT TAX IDN

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FAQs about Glenn Laurence Levine

What is the unique 10-digit identifier code assigned to Glenn Laurence Levine by the Centers for Medicare & Medicaid Services?

The Glenn Laurence Levine has been issued the NPI (National Provider Identifier) 1801814769 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Glenn Laurence Levine's facilities are geographically located?

The facilities of Glenn Laurence Levine are physically situated at the following location: 790 E 5Th St, Coquille, OR, 97423.

What is Glenn Laurence Levine's specialized field of practice, and what is the corresponding taxonomy classification code?

The Glenn Laurence Levine's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.

On what date did Glenn Laurence Levine receive its 1801814769 assignment from the Centers for Medicare & Medicaid Services?

The Glenn Laurence Levine was assigned its 1801814769 on 2006-07-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Glenn Laurence Levine, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Glenn Laurence Levine, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-12-21.

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