Livesay, Craig Carroll

Livesay, Craig Carroll is an individual health care provider with primary practice located at 306 Sunset Drive Ste 100, Johnson City TN 37604. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Livesay, Craig Carroll can be contacted via phone (423) 926-8304.

Contact Information

Primary practice address
306 Sunset Drive Ste 100 Johnson City TN 37604
Phone: (423) 926-8304
Fax: (423) 926-5976
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1860 Tennessee

Profile Details

NPI number 1598819021
LBN Legal business name Livesay, Craig Carroll
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Dec 30th, 2021 - about 3 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 1598819021 NPPES
Tennessee MEDICAID Q027618
Tennessee Other 4105709

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