Long, Edward
Long, Edward is an sole proprietor health care provider with primary practice located at 6825 S 7Th St Unit 91312 , Phoenix AZ 85042-5440. He recently has only one registered license in Other Service Providers / Health Educator, which is considered as his primary health care specialty. Long, Edward can be contacted via phone (310) 467-8223.Contact Information
Primary practice address
6825 S 7Th St Unit 91312
Phoenix AZ 85042-5440
Phone: (310) 467-8223
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X | 282365 | Arizona |
Profile Details
| NPI number | 1427769892 |
|---|---|
| LBN Legal business name | Long, Edward |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2022 |
| Last updated | Dec 7th, 2022 - about 3 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 | 1427769892 | NPPES |
| Arizona | MEDICAID | 884316598 |
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