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Contact Information

JOHN M LIVINGSTON, MD
8756 W EMERALD ST
SUITE 136
BOISE, ID83704-4831
 Phone: 208-853-3051
 Fax: 208-853-3053
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN M LIVINGSTON · (Male)

NPI Number 1013064641
Status Active
Credentials MD
Entity Individual
Enumeration date 01/04/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # M5148
  • Other BL1428499 DEA
  • ID Other 000010000192 REGENCE BLUE SHIELD OF ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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