MEDICARE: DAVID C LIVINGSTON DC PA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	266	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295785376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID C LIVINGSTON DC PA INC

Provider Business Mailing Address
First Line	:	56 EAST MAIN STREET
Second Line	:
City	:	NORWALK
State	:	OH
Zip	:	44857-1517
Country	:	US
Telephone Number	:	419-668-5147
Fax Number	:	419-668-5147

Provider Business Practice Location Address
First Line	:	56 EAST MAIN STREET
Second Line	:
City	:	NORWALK
State	:	OH
Zip	:	44857-1517
Country	:	US
Telephone Number	:	419-668-5147
Fax Number	:	419-668-5147

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID C LIVINGSTON
Credential	:	DC
Telephone Number	:	419-668-5147

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	08/22/2020

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