Provider Demographics
NPI:1033297775
Name:LEVIN, GREGORY ANDREW (DC)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:ANDREW
Last Name:LEVIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 HEATHER RD
Mailing Address - Street 2:
Mailing Address - City:CHURCHVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18966-1109
Mailing Address - Country:US
Mailing Address - Phone:215-357-0850
Mailing Address - Fax:215-357-9006
Practice Address - Street 1:600 LOUIS DR STE 202
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-2847
Practice Address - Country:US
Practice Address - Phone:215-957-5400
Practice Address - Fax:215-957-5401
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006091L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PALE837968OtherBCBS
PALE837968OtherHIGHMARK
PALE837968OtherBCBS