Livingston, John M
Livingston, John M is an sole proprietor health care provider with primary practice located at 8756 W Emerald St Suite 136, Boise ID 83704-4831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Livingston, John M can be contacted via phone (208) 853-3051.Contact Information
Primary practice address
8756 W Emerald St Suite 136
Boise ID 83704-4831
Phone: (208) 853-3051
Fax: (208) 853-3053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M5148 | Idaho |
Profile Details
| NPI number | 1013064641 |
|---|---|
| LBN Legal business name | Livingston, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Mar 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013064641 | NPPES |
| Idaho | Other | 000010000192 | REGENCE BLUE SHIELD OF ID |
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