Long, Christopher M

Long, Christopher M is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Otolaryngology, Milwaukee WI 53226-3522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Long, Christopher M can be contacted via phone (414) 805-5580.

Contact Information

Primary practice address
9200 W Wisconsin Ave Otolaryngology Milwaukee WI 53226-3522
Phone: (414) 805-5580
Fax: (414) 805-8324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 39103 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 39103 Wisconsin

Profile Details

NPI number 1659382117
LBN Legal business name Long, Christopher M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Apr 9th, 2015 - about 9 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 1659382117 NPPES
Wisconsin MEDICAID 1659382117
Wisconsin MEDICAID 34075100

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