Individual
DR. JONATHAN JAMES LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, THERAPY PROVIDER
Contact information
Practice address
3330 S PRICE RD, SUITE D-110, TEMPE, AZ 85282-7530
(480) 345-2080
(480) 345-2199
Mailing address
3330 S PRICE RD, SUITE D-110, TEMPE, AZ 85282-7530
(480) 345-2080
(480) 345-2199
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC4997
AZ
225400000X
Rehabilitation Practitioner
2761
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2761
THERAPY LICENSE NUMBER
AZ
01
—
DC4997
CHIROPRACTIC LICENSE #
AZ
Enumeration date
04/18/2006
Last updated
06/27/2012
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