Long, Jaime B

Long, Jaime B is an individual health care provider with primary practice located at 35 Hope Drive Suites 202/204, Hershey PA 17033-2036. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Long, Jaime B can be contacted via phone (717) 531-3503.

Contact Information

Primary practice address
35 Hope Drive Suites 202/204 Hershey PA 17033-2036
Phone: (717) 531-3503
Fax: (717) 531-4375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD433918 Pennsylvania
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 34110 Arizona
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X MD433918 Pennsylvania

Profile Details

NPI number 1952386195
LBN Legal business name Long, Jaime B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jan 11th, 2019 - about 6 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 1952386195 NPPES
Arizona Other 86080015085259C450 TRIWEST
Arizona Other 127992 TRIWEST
Arizona Other P00272876 TRIWEST
Arizona MEDICAID 010213023 TRIWEST
Arizona Other P00670380 TRIWEST
Arizona MEDICAID 939754 TRIWEST

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