Livingston, Leon

Livingston, Leon is an individual health care provider with primary practice located at 51 N Dunlap St Ste 410, Memphis TN 38105-4625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Livingston, Leon can be contacted via phone (901) 523-2945.

Contact Information

Primary practice address
51 N Dunlap St Ste 410 Memphis TN 38105-4625
Phone: (901) 523-2945
Fax: (901) 523-8488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35123 Tennessee

Profile Details

NPI number 1972507796
LBN Legal business name Livingston, Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Mar 3rd, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972507796 NPPES
Tennessee Other 6012717 BCBS
Tennessee MEDICAID 3899472 BCBS
Tennessee MEDICAID 00126640 BCBS
Tennessee MEDICAID 146713001 BCBS

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