MEDICARE: STEVEN LOUIS LEVINE DC

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
1	111N00000X	Chiropractor	5431	AZ

General Provider Information

NPI Number	:	1285697805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN LOUIS LEVINE DC

Provider Business Mailing Address
First Line	:	751 E UNION HILLS DRIVE
Second Line	:	SUITE 7
City	:	PHOENIX
State	:	AZ
Zip	:	85024-2979
Country	:	US
Telephone Number	:	602-788-6091
Fax Number	:	602-485-8276

Provider Business Practice Location Address
First Line	:	751 E UNION HILLS DRIVE
Second Line	:	SUITE 7
City	:	PHOENIX
State	:	AZ
Zip	:	85024-2979
Country	:	US
Telephone Number	:	602-788-6091
Fax Number	:	602-485-8276

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2006
Last Update Date	:	07/08/2007

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Directions to “ STEVEN LOUIS LEVINE DC” Practice Location

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