NPI 1043542905

Livingston Ent

Organisation Specialist Brighton, MI

Practice location

Address: 2300 Genoa Business Park Dr Suite 130, Brighton, MI 48114-7367
Phone: (810) 227-3687
Fax: (810) 225-2209

Authorised official

Name: Shannon L Jascoe
Title: Office Manager
Phone: (810) 227-3687

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 4301053044 (MI)

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Registry record

NPI: 1043542905
Entity type: Organization
NPI issued: 3 Feb 2010
Record last updated: 3 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.