Individual
MR. DOUGLAS P LIVINGSTONE
Active
Individual
MR. DOUGLAS P LIVINGSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
48
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000066070
BLUE CROSS BLUE SHIELD
MT
01
—
0141385
WASHINGTON L & I
MT
05
—
3400787
—
MT
01
—
810347861
CHAMPUS
MT
01
—
810347861006
EBMS
MT
01
—
P00134072
RAILROAD MEDICARE
MT
Enumeration date
06/11/2006
Last updated
05/29/2008
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