Livingston, Christine Viiginia
Livingston, Christine Viiginia is an sole proprietor health care provider with primary practice located at 1000 E Aztec Ave , Gallup NM 87301-5509. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Livingston, Christine Viiginia can be contacted via phone (505) 721-1817.Contact Information
Primary practice address
1000 E Aztec Ave
Gallup NM 87301-5509
Phone: (505) 721-1817
Fax: (505) 721-1899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | M4434 | New Mexico |
Profile Details
| NPI number | 1538297767 |
|---|---|
| LBN Legal business name | Livingston, Christine Viiginia |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538297767 | NPPES |
| New Mexico | MEDICAID | 64479765 |
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