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
Fax: (336) 716-8018
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518107747 NPPES
North Carolina MEDICAID 5917629

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