Long, John

Long, John is an individual health care provider with primary practice located at 489 State St , Bangor ME 04401-6616. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Long, John can be contacted via phone (207) 973-8305.

Contact Information

Primary practice address
489 State St Bangor ME 04401-6616
Fax:
Website:

Profile Details

NPI number 1750465217
LBN Legal business name Long, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jul 15th, 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 1750465217 NPPES
Maine Other M80673 CIGNA
Maine Other C66140 CIGNA
Maine Other 024275 CIGNA
Maine Other 2323437 CIGNA

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