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DR. BRANDON REED LIVINGOOD DC
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1639303993
Individual Registrant:DR. BRANDON REED LIVINGOOD DC
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
18025 CALLE AMBIENTE SUITE 204 RANCHO SANTA FE, CA 92067 US
Tel: 858-367-8660 Fax: 858-367-8966
Tel: 858-367-8660 Fax: 858-367-8966
Contact information for business:
1720 JET STREAM DR SUITE 115 COLORADO SPRINGS, CO 80921-3938 US
Tel: 719-867-3007 Fax: 719-867-3000
Tel: 719-867-3007 Fax: 719-867-3000
Registration Information:
NPI: 1639303993
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 111N00000X | Chiropractic Providers Chiropractor | CA | 33936 |
| Y | 111N00000X | Chiropractic Providers Chiropractor | CO | 6324 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| CALIFORNIA CHIROPRACTIC LICENSE | 33936 | CA | 01 |
