Livesay, Jimmie R

Livesay, Jimmie R is an sole proprietor health care provider with primary practice located at 514 N Main St , Jonesboro IL 62952-1800. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as his primary health care specialty. Livesay, Jimmie R can be contacted via phone (618) 614-4265.

Contact Information

Primary practice address
514 N Main St Jonesboro IL 62952-1800
Phone: (618) 614-4265
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1336260256
LBN Legal business name Livesay, Jimmie R
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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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