Leavitt, Glenn Ralph
Leavitt, Glenn Ralph is an sole proprietor health care provider with primary practice located at 1550 Elk Crk , Idaho Falls ID 83404-8322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Leavitt, Glenn Ralph can be contacted via phone (208) 529-5942.Contact Information
Primary practice address
1550 Elk Crk
Idaho Falls ID 83404-8322
Phone: (208) 529-5942
Fax: (208) 529-5951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | O-0365 | Idaho |
Profile Details
| NPI number | 1386644318 |
|---|---|
| LBN Legal business name | Leavitt, Glenn Ralph |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2005 |
| Last updated | Mar 1st, 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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