Mark Levine, D.C. – Chiropractor in New Hartford, CT

Key facts

NPI: 1891783643
Entity type: Individual (NPI type 1)
Primary specialty: Chiropractor 111N00000X
License: 851 (CT)
Practice address: 38 Timberline Rd
New Hartford, CT 06057-3324
Phone: (860) 000-0000
NPI assigned: Oct 6, 2005
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Levine Chiropractic Center, LLC Chiropractor · Torrington, CT · NPI 1750580650

NPD (past) CHIROPRACTOR

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
000851	CT	MD	Psychologist
851	CT	MD	Chiropractor

Practice roles

Organization	Specialty	Status	New patients
Levine Chiropractic Center, LLC	Chiropractor	Past since Sep 15, 2003	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor	111N00000X	851	CT	Yes

Addresses

Primary practice location

38 Timberline Rd
New Hartford, CT 06057-3324

Mailing address

38 Timberline Rd
New Hartford, CT 06057-3324

Other identifiers

Identifier	Type	State	Issuer
004099306	Medicaid	CT

Other providers in New Hartford, CT

All providers in New Hartford, CT · Chiropractor in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.