Livengood, Matthew D.

Livengood, Matthew D. is an individual health care provider with primary practice located at 555 N Duke St , Lancaster PA 17602-2250. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Livengood, Matthew D. can be contacted via phone (717) 299-4173.

Contact Information

Primary practice address
555 N Duke St Lancaster PA 17602-2250
Phone: (717) 299-4173
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP007166 Pennsylvania

Profile Details

NPI number 1386603181
LBN Legal business name Livengood, Matthew D.
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Sep 20th, 2010 - about 16 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 1386603181 NPPES
Pennsylvania MEDICAID 1776266701

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