Leavitt, Mark A.

Leavitt, Mark A. is an sole proprietor health care provider with primary practice located at 69 Elm St Ste 204 , Camden ME 04843-1954. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Leavitt, Mark A. can be contacted via phone (207) 798-1195.

Contact Information

Primary practice address
69 Elm St Ste 204 Camden ME 04843-1954
Phone: (207) 798-1195
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT1050 Maine

Profile Details

NPI number 1710050745
LBN Legal business name Leavitt, Mark A.
Credentials P.T., CFP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2006
Last updated Mar 18th, 2016 - about 9 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 1710050745 NPPES
Maine Other 415407 TUFTS
Maine MEDICAID 127700000 TUFTS
Maine Other 011457 TUFTS
Maine Other 2111062 TUFTS
Maine Other M21444 TUFTS

Popular Providers