Larry Leavitt in Pittsfield - Physician Assistant
Larry Leavitt - NPI 1033327705
Larry Leavitt is a Physician Assistant in Pittsfield, Massachusetts. Larry Leavitt practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Larry Leavitt is 1033327705. The last update date is 2011-11-16.
Larry Leavitt's current location address is 369 South St, Pittsfield, Massachusetts. You can contact this provider via phone number 5187727710 and fax number 5187727710. The mailing address for Larry Leavitt is 369 South St, Pittsfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Leavitt |
|---|---|
| Address | 369 South St, Pittsfield, Massachusetts |
| Phone Number | 5187727710 |
| Fax Number | 5187727710 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1033327705 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2011-11-16 |
Provider Mailing Address Detail
| Address | 369 South St |
|---|---|
| City | Pittsfield |
| State | Massachusetts (MA) |
| Post Code | 12016803 |
| Phone Number | 5187727710 |
| Fax Number | 5187727710 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3089 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30336040 | NH | -- |
Post Comment/ Review Below
What is the Larry Leavitt's 1033327705?
The Larry Leavitt's NPI (National Provider Identifier) Number is 1033327705. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Larry Leavitt's facilities are situated?
The facilities of Larry Leavitt are physically located at the following address: 369 South St, Pittsfield, MA, 12016803.
What is Larry Leavitt's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Larry Leavitt is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033327705 to Larry Leavitt?
The Centers for Medicare & Medicaid Services originally issued the 1033327705 to Larry Leavitt on 2007-05-18.
As of what date were the details related to Larry Leavitt most recently updated or revised?
The information pertaining to Larry Leavitt, including its address, specialty, and other relevant details, was last updated or revised on 2011-11-16.