Long, John A

Long, John A is an individual health care provider with primary practice located at 10810 Connecticut Ave Kaiser Permanente Kensington Medical Center, Kensington MD 20895-2138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Long, John A can be contacted via phone (301) 929-7100.

Contact Information

Primary practice address
10810 Connecticut Ave Kaiser Permanente Kensington Medical Center Kensington MD 20895-2138
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101031814 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D22299 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD33242 District of Columbia

Profile Details

NPI number 1821062704
LBN Legal business name Long, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Dec 6th, 2012 - about 12 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 1821062704 NPPES
Virginia MEDICAID 7200617

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