Leverett, Joe L

Leverett, Joe L is an individual health care provider with primary practice located at 205 S Park Ln , Altus OK 73521-5755. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Leverett, Joe L can be contacted via phone (580) 379-6650.

Contact Information

Primary practice address
205 S Park Ln Altus OK 73521-5755
Fax: (580) 379-6659
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 14419 Oklahoma

Profile Details

NPI number 1487697033
LBN Legal business name Leverett, Joe L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Aug 24th, 2022 - about 3 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 1487697033 NPPES
Oklahoma MEDICAID 100130000B

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