Leavenworth, Linda H

Leavenworth, Linda H is an sole proprietor health care provider with primary practice located at 411 Massachusetts Ave Suite 202, Acton MA 01720-3739. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Leavenworth, Linda H can be contacted via phone (978) 635-0477.

Contact Information

Primary practice address
411 Massachusetts Ave Suite 202 Acton MA 01720-3739
Phone: (978) 635-0477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 56101 Massachusetts
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 56101 Massachusetts

Profile Details

NPI number 1053311076
LBN Legal business name Leavenworth, Linda H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2005
Last updated Aug 15th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053311076 NPPES
Massachusetts Other 056101 TUFTS HEALTH PLAN
Massachusetts Other 2018428 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3023311 TUFTS HEALTH PLAN
Massachusetts Other 82830 TUFTS HEALTH PLAN
Massachusetts Other 13614 TUFTS HEALTH PLAN
Massachusetts Other J06513 TUFTS HEALTH PLAN

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