Leavitt, Frank
Leavitt, Frank is an sole proprietor health care provider with primary practice located at 513 Illinois Rd , Wilmette IL 60091-2340. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Leavitt, Frank can be contacted via phone (847) 251-3169.Contact Information
Primary practice address
513 Illinois Rd
Wilmette IL 60091-2340
Phone: (847) 251-3169
Fax: (847) 251-9240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
| NPI number | 1124134804 |
|---|---|
| LBN Legal business name | Leavitt, Frank |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124134804 | NPPES |
| Illinois | Other | 01672655 | BLUE CROSS BLUESHIELD |
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