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NPI Code Detail

MEDICARE: ROBERT EUGENE LEVERT JR.

MEDICARE: ROBERT EUGENE LEVERT JR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225C00000XRehabilitation Counselor

General Provider Information

NPI Number : 1104986850
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT EUGENE LEVERT JR.
Provider Business Mailing Address
First Line : 2060 CAMPUS DR
Second Line :
City : YREKA
State : CA
Zip : 96097-9538
Country : US
Telephone Number : 530-841-4853
Fax Number :
Provider Business Practice Location Address
First Line : 2060 CAMPUS DR
Second Line :
City : YREKA
State : CA
Zip : 96097-9538
Country : US
Telephone Number : 530-841-4853
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 12/22/2015

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Directions to “ ROBERT EUGENE LEVERT JR. ” Practice Location

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