1861151268 NPI number — LIVEWELL GASTROENTEROLOGY, PLLC

Table of content: (NPI 1861151268)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861151268 NPI number — LIVEWELL GASTROENTEROLOGY, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LIVEWELL GASTROENTEROLOGY, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861151268
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/13/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 739
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
UNION
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41091-0739
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
859-363-5515
Provider Business Mailing Address Fax Number:
859-545-5074

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23 TAFT HWY STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DRY RIDGE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41035-8121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-363-5515
Provider Business Practice Location Address Fax Number:
859-545-5074
Provider Enumeration Date:
12/13/2021

Additional Information

Authorized Official

Authorized Official Last Name:
DICHIARA
Authorized Official First Name:
AMY
Authorized Official Middle Name:
J
Authorized Official Title or Position:
MANAGING MEMBER/ PRESIDENT
Authorized Official Telephone Number:
859-363-5515

Provider Taxonomy Codes

  • Taxonomy code: 261QM2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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