Provider Demographics
NPI:1033490693
Name:BART W LEAVENS PC
Entity Type:Organization
Organization Name:BART W LEAVENS PC
Other - Org Name:CHIROPRACTIC SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BART
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:LEAVENS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-241-4295
Mailing Address - Street 1:326 3RD AVE S
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52732-4436
Mailing Address - Country:US
Mailing Address - Phone:536-241-4295
Mailing Address - Fax:
Practice Address - Street 1:326 3RD AVE S
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:IA
Practice Address - Zip Code:52732-4436
Practice Address - Country:US
Practice Address - Phone:536-241-4295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA254254261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center