Leavitt, Robert Phillip

Leavitt, Robert Phillip is an individual health care provider with primary practice located at 734 Bliss Rd , Longmeadow MA 01106-1561. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Leavitt, Robert Phillip can be contacted via phone (413) 567-4500.

Contact Information

Primary practice address
734 Bliss Rd Longmeadow MA 01106-1561
Phone: (413) 567-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 78665 Massachusetts

Profile Details

NPI number 1699763300
LBN Legal business name Leavitt, Robert Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699763300 NPPES
Massachusetts MEDICAID 9782338
Massachusetts Other J14350
Massachusetts Other 000000020252

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