Long, Justin Allen

Long, Justin Allen is an individual health care provider with primary practice located at 501 S Santa Fe Ave, Suite 200 , Salina KS 67401. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Long, Justin Allen can be contacted via phone (785) 452-7562.

Contact Information

Primary practice address
501 S Santa Fe Ave, Suite 200 Salina KS 67401
Phone: (785) 452-7562
Fax: (785) 452-7105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 15-02009 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA150409 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1502009 Kansas

Profile Details

NPI number 1447587027
LBN Legal business name Long, Justin Allen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2009
Last updated Mar 4th, 2020 - 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 1447587027 NPPES
Kansas MEDICAID 201166150A

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