Leavitt, Jennifer L

Leavitt, Jennifer L is an sole proprietor health care provider with primary practice located at 2900 Emerson Ave , Parkersburg WV 26104-2519. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Leavitt, Jennifer L can be contacted via phone (304) 485-0272.

Contact Information

Primary practice address
2900 Emerson Ave Parkersburg WV 26104-2519
Phone: (304) 485-0272
Fax: (304) 485-0265
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1709 West Virginia

Profile Details

NPI number 1699778472
LBN Legal business name Leavitt, Jennifer L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Sep 8th, 2022 - about 4 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 1699778472 NPPES
West Virginia Other 2125613 OHIO MEDICAID
West Virginia MEDICAID 0590002000 OHIO MEDICAID

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