Brown, Ivan Leavitt
Brown, Ivan Leavitt is an individual health care provider with primary practice located at 159 Trout Avenue Subase New London, Groton CT 06340. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Brown, Ivan Leavitt can be contacted via phone (847) 254-3904.Contact Information
Primary practice address
159 Trout Avenue Subase New London
Groton CT 06340
Phone: (847) 254-3904
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1013430016 |
|---|---|
| LBN Legal business name | Brown, Ivan Leavitt |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2017 |
| Last updated | Jul 21st, 2017 - about 7 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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