Individual provider · Type 1 NPI
Willie J. Levesque, PA-C, DC
Surgical Physician Assistant · Plantsville, CT
NPI number
1194030569
Active
Practice location
852 Prospect St
Plantsville, CT 06479-1011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 001849 (CT) |
| Surgical Physician Assistant Primary | 363AS0400X | 3056 (CT) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1194030569
Willie J. Levesque, PA-C, DC's National Provider Identifier is 1194030569, issued on Aug 10, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Plantsville, CT. The record was last updated on Feb 27, 2014.