Individual
DR. JEFFREY S. LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD031443
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005824958
—
VA
01
—
100027166
PHP TENNCARE
TN
05
—
1803462000
—
WV
01
—
3121717
BCBS OF TN
TN
05
—
3700035
—
TN
01
—
396702
ANTHEM
VA
01
—
5160031
AETNA
TN
05
—
64062763
—
KY
01
—
TN0114
UNITED HEALTHCARE RIVER V
TN
Enumeration date
09/14/2005
Last updated
05/27/2008
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