Livingstone, Ian R
Livingstone, Ian R is an individual health care provider with primary practice located at 269 S Candy Ln Ste 107 , Cottonwood AZ 86326-4158. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Livingstone, Ian R can be contacted via phone (928) 639-2251.Contact Information
Primary practice address
269 S Candy Ln Ste 107
Cottonwood AZ 86326-4158
Phone: (928) 639-2251
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 33029 | Arizona |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 33029 | Arizona |
Profile Details
| NPI number | 1275626939 |
|---|---|
| LBN Legal business name | Livingstone, Ian R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Oct 6th, 2023 - about last year |
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 | 1275626939 | NPPES |
| Arizona | MEDICAID | 892126 |
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