Leavitt, Van Stephen
Leavitt, Van Stephen is an sole proprietor health care provider with primary practice located at 3420 S Mercy Rd Ste 200 , Gilbert AZ 85297-0423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Leavitt, Van Stephen can be contacted via phone (480) 909-3786.Contact Information
Primary practice address
3420 S Mercy Rd Ste 200
Gilbert AZ 85297-0423
Phone: (480) 909-3786
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 5101018971 | Michigan |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 006665 | Arizona |
Profile Details
| NPI number | 1780976480 |
|---|---|
| LBN Legal business name | Leavitt, Van Stephen |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2011 |
| Last updated | Nov 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780976480 | NPPES |
| Arizona | MEDICAID | 024924 |
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