Leavens, Joan

Leavens, Joan is an individual health care provider with primary practice located at 125 16Th Ave E , Seattle WA 98112-5211. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Leavens, Joan can be contacted via phone (206) 326-3000.

Contact Information

Primary practice address
125 16Th Ave E Seattle WA 98112-5211
Phone: (206) 326-3000
Fax: (877) 515-2975
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X MD61174242 Washington

Profile Details

NPI number 1518321074
LBN Legal business name Leavens, Joan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2016
Last updated Feb 16th, 2024 - about 9 months 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 1518321074 NPPES
Washington MEDICAID 2189327

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