Leavitt, Edwin Lockwood
Leavitt, Edwin Lockwood is an individual health care provider with primary practice located at 2257 Huber Road , Fort Meade MD 20755-5378. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Leavitt, Edwin Lockwood can be contacted via phone (443) 845-6295.Contact Information
Primary practice address
2257 Huber Road
Fort Meade MD 20755-5378
Phone: (443) 845-6295
Fax: (301) 677-7149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C0001832 | Maryland |
Profile Details
| NPI number | 1265653596 |
|---|---|
| LBN Legal business name | Leavitt, Edwin Lockwood |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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