Individual
JASON LIVINGSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1305
(570) 271-6389
(570) 271-6021
Mailing address
PO BOX 735044, CHICAGO, IL 60673
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
81700
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100245577
—
WI
Enumeration date
04/04/2021
Last updated
08/22/2025
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