Elkins Long, Shelly
Elkins Long, Shelly is an sole proprietor health care provider with primary practice located at 3826 Javalyn Ct , Slatington PA 18080-3822. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Elkins Long, Shelly can be contacted via phone (610) 657-9244.Contact Information
Primary practice address
3826 Javalyn Ct
Slatington PA 18080-3822
Phone: (610) 657-9244
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | PHDHP000713 | Pennsylvania |
Profile Details
| NPI number | 1306333760 |
|---|---|
| LBN Legal business name | Elkins Long, Shelly |
| Credentials | PHDHP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2018 |
| Last updated | Jun 16th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306333760 | NPPES |
| Pennsylvania | Other | PHDH000713 | PA STATE BOARD OF DENTISTRY |
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