Lively, Geoffrey Daniel

Lively, Geoffrey Daniel is an individual health care provider with primary practice located at 10580 N Meridian St , Indianapolis IN 46290-1028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Lively, Geoffrey Daniel can be contacted via phone (317) 583-5000.

Contact Information

Primary practice address
10580 N Meridian St Indianapolis IN 46290-1028
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 0101250395 Virginia
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 01075071A Indiana

Profile Details

NPI number 1275760498
LBN Legal business name Lively, Geoffrey Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2009
Last updated Oct 17th, 2017 - about 7 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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