Physician Compare National (NPI:1477631976)

HEALTHCARE PROVIDER: GLENN RICHARD LEVY DC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1477631976
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0042391088
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080116000473
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEVY
	Individual professional last name
Provider First Name	GLENN
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOS ANGELES COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1895 PLUMAS ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3
	Group Practice or individual's line 2 address
City	RENO
	Group Practice or individual's city
State	NV
	Group Practice or individual's state
Zip Code	895093384
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7753225389
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y