Livingston, Mark W.
Livingston, Mark W. is an individual health care provider with primary practice located at 2811 Tieton Dr , Yakima WA 98902-3761. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Livingston, Mark W. can be contacted via phone (509) 575-8000.Contact Information
Primary practice address
2811 Tieton Dr
Yakima WA 98902-3761
Phone: (509) 575-8000
Fax: (509) 575-8745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD00024012 | Washington |
Profile Details
| NPI number | 1679656615 |
|---|---|
| LBN Legal business name | Livingston, Mark W. |
| Credentials | MD00039930 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Mar 14th, 2013 - about 11 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 | 1679656615 | NPPES |
| Washington | MEDICAID | 8289233 |
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