Long, John Alva
Long, John Alva is an individual health care provider with primary practice located at 1000 19Th St S , Birmingham AL 35205-4804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Long, John Alva can be contacted via phone (205) 930-0700.Contact Information
Primary practice address
1000 19Th St S
Birmingham AL 35205-4804
Phone: (205) 930-0700
Fax: (205) 930-9127
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | 14053 | Alabama |
Profile Details
| NPI number | 1861495384 |
|---|---|
| LBN Legal business name | Long, John Alva |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2005 |
| Last updated | Apr 4th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861495384 | NPPES |
| Alabama | MEDICAID | 000080153 |
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