Long, Leslie S

Long, Leslie S is an individual health care provider with primary practice located at Taylor At Marion St , Columbia SC 29220-0001. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Long, Leslie S can be contacted via phone (803) 254-2394.

Contact Information

Primary practice address
Taylor At Marion St Columbia SC 29220-0001
Fax: (803) 254-7125
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 14018 South Carolina
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 14018 South Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 14018 South Carolina

Profile Details

NPI number 1487734562
LBN Legal business name Long, Leslie S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Nov 9th, 2020 - about 4 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 1487734562 NPPES
South Carolina Other 140181 SELECT HEALTH
South Carolina Other 2001349 SELECT HEALTH
South Carolina Other 77893 SELECT HEALTH
South Carolina Other 4357094 SELECT HEALTH
South Carolina MEDICAID 140181 SELECT HEALTH
South Carolina Other 050028878 SELECT HEALTH

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