Leavell, J Timothy

Leavell, J Timothy is an individual health care provider with primary practice located at 100 E Idaho St Suite 200, Boise ID 83712-6267. He recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as his primary health care specialty. Leavell, J Timothy can be contacted via phone (208) 381-7312.

Contact Information

Primary practice address
100 E Idaho St Suite 200 Boise ID 83712-6267
Phone: (208) 381-7312
Fax: (208) 381-7313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X M7792 Idaho

Profile Details

NPI number 1407890031
LBN Legal business name Leavell, J Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Apr 22nd, 2011 - about 13 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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