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Individual

CHARLES LEWIS LEVY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 MATTHEW ST, SUITE 401, MARIETTA, OH 45750-1644
(740) 374-2252
(740) 374-4974
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
0101243944
VA
207T00000X
Neurological Surgery Physician
2010-00495
NC
207T00000X
Neurological Surgery Physician
24324
WV
207T00000X
Neurological Surgery Physician
Primary
35.096669
OH
207T00000X
Neurological Surgery Physician
48271
WI
207T00000X
Neurological Surgery Physician
MD429419
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3119511
OH
05
3810019725
WV
01
P01646135
RAILROAD MEDICARE MHCPI
OH
Enumeration date
03/27/2006
Last updated
06/22/2016
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