Long, Jerry Lee

Long, Jerry Lee is an sole proprietor health care provider with primary practice located at 6654 Bitteroot Ln , Saint Louis MO 63134-1451. He recently has only one registered license in Suppliers / Customized Equipment, which is considered as his primary health care specialty. Long, Jerry Lee can be contacted via phone (813) 494-1282.

Contact Information

Primary practice address
6654 Bitteroot Ln Saint Louis MO 63134-1451
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1881240349
LBN Legal business name Long, Jerry Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2019
Last updated Aug 12th, 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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