Individual
DR. CLARENCE NATHAN LEAVITT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1842 IRON ST, SUITE A, BELLINGHAM, WA 98225-4646
(360) 676-9533
(360) 647-8711
Mailing address
1842 IRON ST, SUITE A, BELLINGHAM, WA 98225-4646
(360) 676-9533
(360) 647-8711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2163
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14434
L & I
WA
05
—
2007953
—
WA
Enumeration date
11/03/2006
Last updated
07/08/2007
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