Long, David A

Long, David A is an individual health care provider with primary practice located at 700 S Telephone Road , Moore OK 73160. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Long, David A can be contacted via phone (405) 793-9355.

Contact Information

Primary practice address
700 S Telephone Road Moore OK 73160
Phone: (405) 793-9355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 20241 Oklahoma
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20241 Oklahoma

Profile Details

NPI number 1922065069
LBN Legal business name Long, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated May 24th, 2010 - about 16 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 1922065069 NPPES
Oklahoma MEDICAID 100131980B

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