Long, James

Long, James is an individual health care provider with primary practice located at 1100 N College Ave , Fayetteville AR 72703-1944. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Long, James can be contacted via phone (615) 355-3451.

Contact Information

Primary practice address
1100 N College Ave Fayetteville AR 72703-1944
Phone: (615) 355-3451
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 05-18P Arkansas

Profile Details

NPI number 1275526733
LBN Legal business name Long, James
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Sep 20th, 2018 - about 8 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 1275526733 NPPES
Arkansas Other 5Y410 LOCAL BCBS
Arkansas Other 1932174836 LOCAL BCBS

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