Leavitt, James R

Leavitt, James R is an individual health care provider with primary practice located at 1222 E Woodland Ave , Barron WI 54812-1765. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Leavitt, James R can be contacted via phone (715) 537-3166.

Contact Information

Primary practice address
1222 E Woodland Ave Barron WI 54812-1765
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 21032 Wisconsin

Profile Details

NPI number 1710967351
LBN Legal business name Leavitt, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Apr 8th, 2010 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710967351 NPPES
Wisconsin MEDICAID 30103400

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