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:
Health care specialties
| Specialty | Code | License # | 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 10 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 | 1972507796 | NPPES |
| Tennessee | Other | 6012717 | BCBS |
| Tennessee | MEDICAID | 3899472 | BCBS |
| Tennessee | MEDICAID | 00126640 | BCBS |
| Tennessee | MEDICAID | 146713001 | BCBS |
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