Dietrich, Shenen Leavitt
Dietrich, Shenen Leavitt is an individual health care provider with primary practice located at 9377 E Bell Rd , Scottsdale AZ 85260-1502. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Dietrich, Shenen Leavitt can be contacted via phone (480) 261-9409.Contact Information
Primary practice address
9377 E Bell Rd
Scottsdale AZ 85260-1502
Phone: (480) 261-9409
Fax: (480) 619-4098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 3379 | Arizona |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 3379 | Arizona |
Profile Details
| NPI number | 1679549018 |
|---|---|
| LBN Legal business name | Dietrich, Shenen Leavitt |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2006 |
| Last updated | May 16th, 2016 - about 8 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 | 1679549018 | NPPES |
| Arizona | MEDICAID | 52849005 | |
| Arizona | Other | P00046563 | |
| Arizona | MEDICAID | 582490 |
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