Livermore, James David

Livermore, James David is an individual health care provider with primary practice located at 80 N. Main St. , Coupeville WA 98239-0770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Livermore, James David can be contacted via phone (360) 678-4424.

Contact Information

Primary practice address
80 N. Main St. Coupeville WA 98239-0770
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD00019751 Washington

Profile Details

NPI number 1093806044
LBN Legal business name Livermore, James David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Nov 8th, 2007 - about 18 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 1093806044 NPPES
Washington MEDICAID 1350503

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