Leavitt, Ronald
Leavitt, Ronald is an sole proprietor health care provider with primary practice located at 12670 Creekside Ln Suite 202, Fort Myers FL 33919-3370. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Leavitt, Ronald can be contacted via phone (239) 482-2663.Contact Information
Primary practice address
12670 Creekside Ln Suite 202
Fort Myers FL 33919-3370
Phone: (239) 482-2663
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 21597 | Connecticut |
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 21597 | Connecticut |
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 042-0011868 | Vermont |
Profile Details
NPI number | 1629059738 |
---|---|
LBN Legal business name | Leavitt, Ronald |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 7th, 2005 |
Last updated | Feb 25th, 2013 - about 11 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 | 1629059738 | NPPES |
Connecticut | MEDICAID | 001215979 |
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