Long, John B

Long, John B is an individual health care provider with primary practice located at 1 Daniel Burnham Ct , San Francisco CA 94109-5455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Long, John B can be contacted via phone (415) 221-7056.

Contact Information

Primary practice address
1 Daniel Burnham Ct San Francisco CA 94109-5455
Phone: (415) 221-7056
Fax: (415) 221-7058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G40974 California

Profile Details

NPI number 1881761948
LBN Legal business name Long, John B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jul 18th, 2017 - about 7 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 1881761948 NPPES
California Other P00080208 RR MEDICARE
California Other 00G792860 RR MEDICARE
California MEDICAID 00G409741 RR MEDICARE
California Other 00G792860 RR MEDICARE

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