Long, Daniel Edward
Long, Daniel Edward is an individual health care provider with primary practice located at 9825 Kenwood Rd Suite 105, Blue Ash OH 45242-6251. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Long, Daniel Edward can be contacted via phone (513) 872-4500.Contact Information
Primary practice address
9825 Kenwood Rd Suite 105
Blue Ash OH 45242-6251
Phone: (513) 872-4500
Fax: (513) 872-4518
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35072384 | Ohio |
Profile Details
| NPI number | 1104872399 |
|---|---|
| LBN Legal business name | Long, Daniel Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Jul 19th, 2011 - about 13 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 | 1104872399 | NPPES |
| Ohio | MEDICAID | 2198885 | |
| Ohio | MEDICAID | 200320180 | |
| Ohio | MEDICAID | 64035090 |
Popular Providers
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Weaver, Elizabeth A
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9825 Kenwood Rd Suite 105, Blue Ash OH 45242-6251