Long, Curtis W
Long, Curtis W is an individual health care provider with primary practice located at 200 W Chestnut St , Butler MO 64730-1554. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Long, Curtis W can be contacted via phone (660) 679-3149.Contact Information
Primary practice address
200 W Chestnut St
Butler MO 64730-1554
Phone: (660) 679-3149
Fax: (660) 679-3468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 29119 | Missouri |
Profile Details
| NPI number | 1235111030 |
|---|---|
| LBN Legal business name | Long, Curtis W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Aug 12th, 2013 - about 12 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 | 1235111030 | NPPES |
| Missouri | MEDICAID | 200645901 |
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