Provider Demographics
NPI:1528172632
Name:MORRIS W. LEVINSOHN, M.D., INC.
Entity type:Organization
Organization Name:MORRIS W. LEVINSOHN, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MORRIS
Authorized Official - Middle Name:W
Authorized Official - Last Name:LEVINSOHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-946-6725
Mailing Address - Street 1:4212 STATE ROUTE 306
Mailing Address - Street 2:204
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-9258
Mailing Address - Country:US
Mailing Address - Phone:440-946-6725
Mailing Address - Fax:440-946-3526
Practice Address - Street 1:4212 STATE ROUTE 306
Practice Address - Street 2:204
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-9258
Practice Address - Country:US
Practice Address - Phone:440-946-6725
Practice Address - Fax:440-946-3526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35034958L2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2731548Medicaid
OH9366281Medicare PIN