Edwin Lockwood Leavitt in Forest Hill - Physician Assistant

Edwin Lockwood Leavitt - NPI 1265653596

Edwin Lockwood Leavitt is a Physician Assistant in Forest Hill, Maryland. Edwin Lockwood Leavitt practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Edwin Lockwood Leavitt is 1265653596. The last update date is 2007-07-08.

Edwin Lockwood Leavitt's current location address is 2043 River Downs Ct, Forest Hill, Maryland. You can contact this provider via phone number 4438456295 and fax number 3016777149. The mailing address for Edwin Lockwood Leavitt is 2043 River Downs Ct, Forest Hill, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Edwin Lockwood Leavitt
Address 2043 River Downs Ct, Forest Hill, Maryland
Phone Number 4438456295
Fax Number 3016777149
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1265653596
Provider Enumeration Date 2007-05-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2043 River Downs Ct
City Forest Hill
State Maryland (MD)
Post Code 210503142
Phone Number 4438456295
Fax Number 3016777149

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No C0001832
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Edwin Lockwood Leavitt

What is the unique identification code assigned to Edwin Lockwood Leavitt by the Centers for Medicare & Medicaid Services?

The Edwin Lockwood Leavitt has been issued the NPI (National Provider Identifier) 1265653596. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Edwin Lockwood Leavitt is located?

The Edwin Lockwood Leavitt is situated at the following address: 2043 River Downs Ct, Forest Hill, MD, 210503142.

What is the Edwin Lockwood Leavitt's specialty and taxonomy code?

The Edwin Lockwood Leavitt's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

When was the Edwin Lockwood Leavitt's 1265653596 issued?

The Edwin Lockwood Leavitt's 1265653596 was issued on 2007-05-02.

As of what date was the information regarding Edwin Lockwood Leavitt, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Edwin Lockwood Leavitt, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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