Livingston, Leah Marie
Livingston, Leah Marie is an sole proprietor health care provider with primary practice located at 6722 State Road 50 , Lake Geneva WI 53147-3647. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Livingston, Leah Marie can be contacted via phone (262) 248-2029.Contact Information
Primary practice address
6722 State Road 50
Lake Geneva WI 53147-3647
Phone: (262) 248-2029
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3545-154 | Wisconsin |
Profile Details
| NPI number | 1629361423 |
|---|---|
| LBN Legal business name | Livingston, Leah Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2011 |
| Last updated | Sep 26th, 2016 - about 9 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 | 1629361423 | NPPES |
| Wisconsin | MEDICAID | 1629361423 |
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