Lively, Harry R
Lively, Harry R is an sole proprietor health care provider with primary practice located at 119 S Locust St Ste B, Visalia CA 93291-6251. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lively, Harry R can be contacted via phone (559) 749-0223.Contact Information
Primary practice address
119 S Locust St Ste B
Visalia CA 93291-6251
Phone: (559) 749-0223
Fax: (559) 749-0886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G56294 | California |
Profile Details
| NPI number | 1922154863 |
|---|---|
| LBN Legal business name | Lively, Harry R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2007 |
| Last updated | May 4th, 2009 - about 15 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 | 1922154863 | NPPES |
| California | MEDICAID | 00G562940 |
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