Long, Joseph Michael

Long, Joseph Michael is an sole proprietor health care provider with primary practice located at 7000 Jefferson St Ne , Albuquerque NM 87109-4313. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Long, Joseph Michael can be contacted via phone (505) 344-9478.

Contact Information

Primary practice address
7000 Jefferson St Ne Albuquerque NM 87109-4313
Phone: (505) 344-9478
Fax: (505) 344-2783
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01033377A Indiana
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X IN01033377 Indiana

Profile Details

NPI number 1801978911
LBN Legal business name Long, Joseph Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Mar 31st, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801978911 NPPES
Indiana Other 000000897901 BCBS BMG IRELAND RD
Indiana Other 000000795486 BCBS BMG IRELAND RD
Indiana MEDICAID 100223880 BCBS BMG IRELAND RD
Indiana MEDICAID 100223880A BCBS BMG IRELAND RD
Indiana Other P01173108 BCBS BMG IRELAND RD

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