Leavitt, Rodney Derrick

Leavitt, Rodney Derrick is an individual health care provider with primary practice located at 1226 Ne 7Th St , Grants Pass OR 97526-1424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Leavitt, Rodney Derrick can be contacted via phone (541) 476-6636.

Contact Information

Primary practice address
1226 Ne 7Th St Grants Pass OR 97526-1424
Phone: (541) 476-6636
Fax: (541) 476-6690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD26491 Oregon

Profile Details

NPI number 1982630695
LBN Legal business name Leavitt, Rodney Derrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Feb 11th, 2010 - about 16 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 1982630695 NPPES
Oregon Other MD26491 OREGON BOARD OF MED EXAM

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