Livera, Harold J

Livera, Harold J is an individual health care provider with primary practice located at 217 Breckenridge Ln , Louisville KY 40207-3858. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Livera, Harold J can be contacted via phone (502) 895-9421.

Contact Information

Primary practice address
217 Breckenridge Ln Louisville KY 40207-3858
Phone: (502) 895-9421
Fax: (502) 899-5762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25408 Kentucky

Profile Details

NPI number 1861498552
LBN Legal business name Livera, Harold J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Mar 28th, 2018 - about 6 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 1861498552 NPPES
Kentucky Other 000000777754 ANTHEM - KCMA
Kentucky Other 50039819 ANTHEM - KCMA
Kentucky Other 137158 ANTHEM - KCMA
Kentucky MEDICAID 64254089 ANTHEM - KCMA

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