Organization
LEAVITT CHIROPRACTIC CLINIC INC. PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE NATHAN LEAVITT DC (CHIROPRACTOR)
(360) 676-9533
Entity
Organization
Contact information
Practice address
1842 IRON ST, SUITE A, BELLINGHAM, WA 98225-4646
(360) 676-9533
(360) 676-1581
Mailing address
1842 IRON ST, SUITE A, BELLINGHAM, WA 98225-4646
(360) 676-9533
(360) 676-1581
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2163
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14434
LABOR & INDUSTRIES
WA
05
—
2007953
—
WA
Enumeration date
02/08/2012
Last updated
02/08/2012
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