Long, Christa

Long, Christa is an individual health care provider with primary practice located at 1700 S Tamiami Trl , Sarasota FL 34239-3509. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Long, Christa can be contacted via phone (941) 487-5400.

Contact Information

Primary practice address
1700 S Tamiami Trl Sarasota FL 34239-3509
Phone: (941) 487-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1932323615
LBN Legal business name Long, Christa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Jul 9th, 2007 - about 17 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 1932323615 NPPES
Florida MEDICAID 7680325

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