Livingston, Sean M.

Livingston, Sean M. is an individual health care provider with primary practice located at 3380 N Futrall Dr Ste 1 , Fayetteville AR 72703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Livingston, Sean M. can be contacted via phone (479) 442-7322.

Contact Information

Primary practice address
3380 N Futrall Dr Ste 1 Fayetteville AR 72703
Phone: (479) 442-7322
Fax: (479) 442-7379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E-3661 Arkansas

Profile Details

NPI number 1053355875
LBN Legal business name Livingston, Sean M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Dec 29th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053355875 NPPES
Missouri MEDICAID 201327806
Missouri Other 5M508
Missouri MEDICAID 149265001

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