National Provider Identifier Database

LIVEWELL GASTROENTEROLOGY PLLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

LIVEWELL GASTROENTEROLOGY, PLLC
23 TAFT HWY STE B
DRY RIDGE, KY41035-8121
Phone: 859-363-5515
Fax: 859-545-5074
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for LIVEWELL GASTROENTEROLOGY, PLLC

NPI Number 1861151268
Legal business name
LBN
LIVEWELL GASTROENTEROLOGY, PLLC
Authorized official AMY DICHIARA - (MANAGING MEMBER/ PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/13/2021
Last updated 12/13/2021 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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