Johnston, Dean Livingston
Johnston, Dean Livingston is an sole proprietor health care provider with primary practice located at 4106 W Lake Mary Blvd #212, Lake Mary FL 32746-3315. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Johnston, Dean Livingston can be contacted via phone (407) 333-2525.Contact Information
Primary practice address
4106 W Lake Mary Blvd #212
Lake Mary FL 32746-3315
Phone: (407) 333-2525
Fax: (407) 333-9583
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME0037508 | Florida |
Profile Details
| NPI number | 1598772154 |
|---|---|
| LBN Legal business name | Johnston, Dean Livingston |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Jan 28th, 2011 - about 14 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 | 1598772154 | NPPES |
| Florida | Other | 02565 | BLUE CROSS BLUE SHIELD |
| Florida | MEDICAID | 045599700 | BLUE CROSS BLUE SHIELD |
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