Long, J Alan

Long, J Alan is an individual health care provider with primary practice located at 18019 Dixie 1C, Homewood IL 60430. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Long, J Alan can be contacted via phone (708) 799-2929.

Contact Information

Primary practice address
18019 Dixie 1C Homewood IL 60430
Phone: (708) 799-2929
Fax: (708) 799-2942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1417002569
LBN Legal business name Long, J Alan
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 17 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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