Individual
DR. JEFFREY LEVERONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2312
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6077380001
MEDICARE DME PTAN
MA
Enumeration date
11/08/2006
Last updated
06/22/2011
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