Long, James Eldon

Long, James Eldon is an individual health care provider with primary practice located at 300A Nw 1St Ave , Williston FL 32696-2006. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Long, James Eldon can be contacted via phone (352) 529-0966.

Contact Information

Primary practice address
300A Nw 1St Ave Williston FL 32696-2006
Phone: (352) 529-0966
Fax: (352) 529-0967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2538 Florida

Profile Details

NPI number 1124165626
LBN Legal business name Long, James Eldon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Apr 29th, 2014 - about 10 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 1124165626 NPPES
Florida Other Y09KU BCBS
Florida MEDICAID 004428900 BCBS

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