Brian K Long Md, Pllc

LBN: Brian K Long Md, Pllc
Brian K Long Md, Pllc is an health care organization with primary practice located at 211 S Center St Suite 217A, Statesville NC 28677-5873. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as the primary health care specialty. Brian K Long Md, Pllc can be contacted via phone (704) 872-2350, or through Long, Brian K via phone (704) 872-2350.

Contact Information

Primary practice address
211 S Center St Suite 217A Statesville NC 28677-5873
Phone: (704) 872-2350
Fax: (704) 872-2351
Website:
Map and Directions
Authorized official contact:
Name: Long, Brian K Doctor of Medicine (MD)
Phone: (704) 872-2350

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 200500391 North Carolina

Profile Details

NPI number 1700018843
LBN Legal business name Brian K Long Md, Pllc
DBA Doing business as
Authorized official Long, Brian K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2009
Last updated Aug 21st, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700018843 NPPES
North Carolina MEDICAID 5901922

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