Livingston, Robert R
Livingston, Robert R is an individual health care provider with primary practice located at 1304 Fawcett Avenue Suite 200, Tacoma WA 98402-1911. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Livingston, Robert R can be contacted via phone (253) 761-4200.Contact Information
Primary practice address
1304 Fawcett Avenue Suite 200
Tacoma WA 98402-1911
Phone: (253) 761-4200
Fax: (253) 383-3553
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 00016031 | Washington |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD00D16031 | Washington |
Profile Details
NPI number | 1609949601 |
---|---|
LBN Legal business name | Livingston, Robert R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 16th, 2006 |
Last updated | Jan 26th, 2010 - about 14 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 | 1609949601 | NPPES |
Washington | Other | 300020214 | RR MEDICARE TRA |
Washington | Other | LI2582 | RR MEDICARE TRA |
Washington | Other | LI7252 | RR MEDICARE TRA |
Washington | Other | 119258 | RR MEDICARE TRA |
Washington | Other | 40719 | RR MEDICARE TRA |
Washington | Other | AB36539 | RR MEDICARE TRA |
Washington | MEDICAID | 8388506 | RR MEDICARE TRA |
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