Eaddy, Livingston Lee

Eaddy, Livingston Lee is an individual health care provider with primary practice located at 4749 Berry Blvd , Montgomery AL 36106-3079. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Eaddy, Livingston Lee can be contacted via phone (334) 271-0280.

Contact Information

Primary practice address
4749 Berry Blvd Montgomery AL 36106-3079
Fax: (334) 271-1918
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9860 Alabama

Profile Details

NPI number 1841272606
LBN Legal business name Eaddy, Livingston Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated May 22nd, 2008 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841272606 NPPES
Alabama MEDICAID 529919140

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