Long, Gregory A
Long, Gregory A is an individual health care provider with primary practice located at 604 E 25Th St , Cheyenne WY 82001-3133. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Long, Gregory A can be contacted via phone (307) 637-3953.Contact Information
Primary practice address
604 E 25Th St
Cheyenne WY 82001-3133
Phone: (307) 637-3953
Fax: (307) 638-6805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 172 | Wyoming |
Profile Details
| NPI number | 1467437731 |
|---|---|
| LBN Legal business name | Long, Gregory A |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Mar 25th, 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 | 1467437731 | NPPES |
| Wyoming | Other | 306812 | BS |
| Wyoming | Other | MH100 | BS |
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