Long, Casey

Long, Casey is an individual health care provider with primary practice located at 432 Saint Lukes Dr , Montgomery AL 36117-7104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Long, Casey can be contacted via phone (334) 288-7808.

Contact Information

Primary practice address
432 Saint Lukes Dr Montgomery AL 36117-7104
Phone: (334) 288-7808
Fax: (334) 288-8089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.33195 Alabama
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X MD33195 Alabama

Profile Details

NPI number 1609284751
LBN Legal business name Long, Casey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2014
Last updated Apr 15th, 2019 - about 5 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 1609284751 NPPES
Alabama MEDICAID 185213

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