Livengood, Ryan

Livengood, Ryan is an individual health care provider with primary practice located at 327 Medical Park Dr , Bridgeport WV 26330-9006. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Livengood, Ryan can be contacted via phone (681) 342-1523.

Contact Information

Primary practice address
327 Medical Park Dr Bridgeport WV 26330-9006
Phone: (681) 342-1523
Fax: (681) 342-1548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X 22497 West Virginia
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 22497 West Virginia

Profile Details

NPI number 1073710802
LBN Legal business name Livengood, Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Apr 7th, 2022 - about 4 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 1073710802 NPPES
West Virginia Other 3810014842 MEDICAID
West Virginia Other WV3496A MEDICAID

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