Provider Demographics
NPI:1558669598
Name:LIVINGSTON CHIROPRACTIC CLINIC P.C.
Entity Type:Organization
Organization Name:LIVINGSTON CHIROPRACTIC CLINIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:LIVINGSTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:615-453-9300
Mailing Address - Street 1:1037 WEST MAIN STREET
Mailing Address - Street 2:SUITE D
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-3356
Mailing Address - Country:US
Mailing Address - Phone:615-453-9300
Mailing Address - Fax:615-453-9307
Practice Address - Street 1:1037 WEST MAIN STREET
Practice Address - Street 2:SUITE D
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-3356
Practice Address - Country:US
Practice Address - Phone:615-453-9300
Practice Address - Fax:615-453-9307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000001803332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies