Leavitt, Larry

Leavitt, Larry is an individual health care provider with primary practice located at 369 South St , Pittsfield MA 01201-6803. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Leavitt, Larry can be contacted via phone (518) 772-7710.

Contact Information

Primary practice address
369 South St Pittsfield MA 01201-6803
Phone: (518) 772-7710
Fax: (518) 772-7710
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3089 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0643 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003089 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2589 Massachusetts

Profile Details

NPI number 1033327705
LBN Legal business name Leavitt, Larry
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Nov 16th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033327705 NPPES
New Hampshire MEDICAID 30336040

Popular Providers