Leavitt, Shane Colby

Leavitt, Shane Colby is an individual health care provider with primary practice located at 3726 Broadway, Suite 201, Everett WA 98201. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Leavitt, Shane Colby can be contacted via phone (425) 317-9119.

Contact Information

Primary practice address
3726 Broadway, Suite 201 Everett WA 98201
Phone: (425) 317-9119
Fax: (425) 317-9118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116016876 Virginia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD00049382 Washington

Profile Details

NPI number 1942417811
LBN Legal business name Leavitt, Shane Colby
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Apr 27th, 2017 - about 7 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 1942417811 NPPES
Washington MEDICAID 8510646

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