Long, Billy W
Long, Billy W is an individual health care provider with primary practice located at 1421 N State St Suite 203, Jackson MS 39202-1658. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Long, Billy W can be contacted via phone (601) 355-1234.Contact Information
Primary practice address
1421 N State St Suite 203
Jackson MS 39202-1658
Phone: (601) 355-1234
Fax: (601) 354-3881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 06744 | Mississippi |
Profile Details
| NPI number | 1649268822 |
|---|---|
| LBN Legal business name | Long, Billy W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Aug 14th, 2008 - about 16 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 | 1649268822 | NPPES |
| Mississippi | MEDICAID | 00115725 |
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