Provider Demographics
NPI:1023070018
Name:LEIFHEIT, STEVEN HENRY (DO)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:HENRY
Last Name:LEIFHEIT
Suffix:
Gender:M
Credentials:DO
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 58009
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-1009
Mailing Address - Country:US
Mailing Address - Phone:425-235-4181
Mailing Address - Fax:425-277-3785
Practice Address - Street 1:4746 44TH AVE SW
Practice Address - Street 2:SUITE 204
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-4477
Practice Address - Country:US
Practice Address - Phone:206-935-2722
Practice Address - Fax:206-935-3984
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA000799204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
B18157Medicare UPIN