Livera, Daniel J

Livera, Daniel J is an sole proprietor health care provider with primary practice located at 428 W Votaw St , Portland IN 47371-1302. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Livera, Daniel J can be contacted via phone (260) 726-8822.

Contact Information

Primary practice address
428 W Votaw St Portland IN 47371-1302
Phone: (260) 726-8822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01089292A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1043838543
LBN Legal business name Livera, Daniel J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2020
Last updated Oct 26th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043838543 NPPES
Indiana Other M12240475 MEDICARE PTAN
Indiana MEDICAID 300040515 MEDICARE PTAN

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