Congdon, Karyn Longo

Congdon, Karyn Longo is an individual health care provider with primary practice located at 3515 Caduceus Dr Ste A, Myrtle Beach SC 29588-2922. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Congdon, Karyn Longo can be contacted via phone (843) 293-7085.

Contact Information

Primary practice address
3515 Caduceus Dr Ste A Myrtle Beach SC 29588-2922
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 3153 South Carolina

Profile Details

NPI number 1053509182
LBN Legal business name Congdon, Karyn Longo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2007
Last updated Oct 15th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053509182 NPPES
South Carolina Other 3153 LICENSE

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