Leavitt, Richard J
Leavitt, Richard J is an individual health care provider with primary practice located at 201 Old York Rd Suite 205, Jenkintown PA 19046-3707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Leavitt, Richard J can be contacted via phone (215) 885-6767.Contact Information
Primary practice address
201 Old York Rd Suite 205
Jenkintown PA 19046-3707
Phone: (215) 885-6767
Fax: (215) 885-5297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS004493L | Pennsylvania |
Profile Details
| NPI number | 1174505739 |
|---|---|
| LBN Legal business name | Leavitt, Richard J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Dec 25th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174505739 | NPPES |
| Pennsylvania | MEDICAID | 000908296 |
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