Long, James R

Long, James R is an individual health care provider with primary practice located at 114 W Medical Park Dr , Lexington NC 27292-6773. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Long, James R can be contacted via phone (336) 249-8760.

Contact Information

Primary practice address
114 W Medical Park Dr Lexington NC 27292-6773
Fax: (336) 249-2710
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33456 North Carolina

Profile Details

NPI number 1457356768
LBN Legal business name Long, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1457356768 NPPES
North Carolina MEDICAID 7952594

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