Provider Demographics
NPI:1699756106
Name:LEVEEN, DEBORAH (DC)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:
Last Name:LEVEEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 563
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-0563
Mailing Address - Country:US
Mailing Address - Phone:508-790-0606
Mailing Address - Fax:508-790-0808
Practice Address - Street 1:677 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-3493
Practice Address - Country:US
Practice Address - Phone:508-790-0606
Practice Address - Fax:508-790-0808
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2713111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA352210OtherHARVARD PILGRIM HEALTHCAR
MA461367OtherTUFTS HEALTHPLAN
MAY36896OtherBCBS OF MA
MAY36896OtherBCBS OF MA
MAY4556601Medicare PIN