Dr. Jack M. Long & Assoc., P.A.
LBN: Dr. Jack M. Long & Assoc., P.A.
Dr. Jack M. Long & Assoc., P.A. is an health care organization with primary practice located at 720 Maiden Choice Ln Suite C, Catonsville MD 21228-5940. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Dr. Jack M. Long & Assoc., P.A. can be contacted via phone (410) 744-5499, or through Long, Jack Martin via phone (410) 744-5499.
Contact Information
Primary practice address
720 Maiden Choice Ln Suite C
Catonsville MD 21228-5940
Phone: (410) 744-5499
Fax: (410) 455-0894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 03068 | Maryland |
Profile Details
| NPI number | 1144599572 |
|---|---|
| LBN Legal business name | Dr. Jack M. Long & Assoc., P.A. |
| DBA Doing business as | |
| Authorized official | Long, Jack Martin PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 13th, 2011 |
| Last updated | Dec 13th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144599572 | NPPES |
| Maryland | Other | Q292JM | MEDICARE UNSPECIFIED |
| Maryland | Other | R7610001 | MEDICARE UNSPECIFIED |
| Maryland | Other | 755011100 | MEDICARE UNSPECIFIED |
| Maryland | MEDICAID | 755011100 | MEDICARE UNSPECIFIED |
| Maryland | Other | R7610001 | MEDICARE UNSPECIFIED |
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