Long, Marshall C
Long, Marshall C is an sole proprietor health care provider with primary practice located at 118 12Th Street Ext , Princeton WV 24740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Long, Marshall C can be contacted via phone (304) 487-7936.Contact Information
Primary practice address
118 12Th Street Ext
Princeton WV 24740
Phone: (304) 487-7936
Fax: (304) 487-7835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | WV913 | West Virginia |
Profile Details
| NPI number | 1487718672 |
|---|---|
| LBN Legal business name | Long, Marshall C |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Sep 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487718672 | NPPES |
| West Virginia | MEDICAID | 0052039000 |
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