Long, Anthony D

Long, Anthony D is an sole proprietor health care provider with primary practice located at 17 Mockingbird Ln , Pine Bluff AR 71603-6107. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Long, Anthony D can be contacted via phone (870) 556-0976.

Contact Information

Primary practice address
17 Mockingbird Ln Pine Bluff AR 71603-6107
Phone: (870) 556-0976
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 4651 Arkansas

Profile Details

NPI number 1912455387
LBN Legal business name Long, Anthony D
Credentials CSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2016
Last updated Sep 14th, 2016 - about 9 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.

Request for update

Popular Providers