Long, Daniel

Long, Daniel is an individual health care provider with primary practice located at 1305 W American Dr , Neenah WI 54956-1993. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Long, Daniel can be contacted via phone (800) 201-1194.

Contact Information

Primary practice address
1305 W American Dr Neenah WI 54956-1993
Phone: (800) 201-1194
Fax: (920) 725-7392
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 5101020941 Michigan
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 70781-21 Wisconsin

Profile Details

NPI number 1033523329
LBN Legal business name Long, Daniel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2014
Last updated Oct 25th, 2019 - about 6 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 1033523329 NPPES
Wisconsin MEDICAID 100088599

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