Provider Demographics
NPI:1215066774
Name:LEVIN AND LIPPY CHIROPRACTIC PC
Entity type:Organization
Organization Name:LEVIN AND LIPPY CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:LEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:410-737-8193
Mailing Address - Street 1:4600 WILKENS AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-4843
Mailing Address - Country:US
Mailing Address - Phone:410-737-8193
Mailing Address - Fax:410-737-8069
Practice Address - Street 1:4600 WILKENS AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-4843
Practice Address - Country:US
Practice Address - Phone:410-737-8193
Practice Address - Fax:410-737-8069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02150111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDDA9071OtherRR
MD403792800Medicaid
MDDA9071OtherRAILROAD MEDICARE
702MMedicare PIN
MDDA9071OtherRR