Livesay, Jackie Allen

Livesay, Jackie Allen is an sole proprietor health care provider with primary practice located at 908 W 4Th North St , Morristown TN 37814-3894. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Livesay, Jackie Allen can be contacted via phone (423) 492-5400.

Contact Information

Primary practice address
908 W 4Th North St Morristown TN 37814-3894
Phone: (423) 492-5400
Fax: (865) 291-3228
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 30899 Tennessee

Profile Details

NPI number 1811944002
LBN Legal business name Livesay, Jackie Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2006
Last updated Feb 21st, 2017 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811944002 NPPES
Tennessee MEDICAID 3842851

Popular Providers