Long, Mary Ingram
Long, Mary Ingram is an individual health care provider with primary practice located at 114 E 5Th St , Natchitoches LA 71457-5725. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Long, Mary Ingram can be contacted via phone (318) 354-9348.Contact Information
Primary practice address
114 E 5Th St
Natchitoches LA 71457-5725
Phone: (318) 354-9348
Fax: (318) 354-9269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 022285 | Louisiana |
Profile Details
| NPI number | 1972500221 |
|---|---|
| LBN Legal business name | Long, Mary Ingram |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Mar 3rd, 2009 - about 16 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 | 1972500221 | NPPES |
| Louisiana | MEDICAID | 1494666 |
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