Individual
CRAIG MITCHELL LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
180 WHITE RD, SUITE 201, LITTLE SILVER, NJ 07739-1166
(732) 530-1525
(732) 530-1527
Mailing address
180 WHITE RD, SUITE 201, LITTLE SILVER, NJ 07739-1166
(732) 530-1525
(732) 530-1527
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC04814
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2644883
AETNA HMO
—
01
—
5851224
AETNA TRADITIONAL
—
01
—
P1974471
OXFORD
—
Enumeration date
10/25/2006
Last updated
07/08/2007
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