Long, Christina S
Long, Christina S is an individual health care provider with primary practice located at 131 Miller St , Winston Salem NC 27103-2508. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Long, Christina S can be contacted via phone (336) 716-0572.Contact Information
Primary practice address
131 Miller St
Winston Salem NC 27103-2508
Phone: (336) 716-0572
Fax: (336) 716-8018
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 571 | North Carolina |
Profile Details
NPI number | 1518107747 |
---|---|
LBN Legal business name | Long, Christina S |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 27th, 2009 |
Last updated | Jun 12th, 2013 - about 11 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 | 1518107747 | NPPES |
North Carolina | MEDICAID | 5917629 |
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