Lively, Austin
Lively, Austin is an individual health care provider with primary practice located at 1359 Old Water Works Rd Sw , Fort Payne AL 35968-3347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lively, Austin can be contacted via phone (256) 997-5900.Contact Information
Primary practice address
1359 Old Water Works Rd Sw
Fort Payne AL 35968-3347
Phone: (256) 997-5900
Fax: (888) 977-1691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 080335 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 7481 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 37983 | Alabama |
Profile Details
| NPI number | 1871976639 |
|---|---|
| LBN Legal business name | Lively, Austin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2015 |
| Last updated | Aug 5th, 2019 - about 5 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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