Long, Matthew

Long, Matthew is an individual health care provider with primary practice located at 38400 Bob Wilson Dr , San Diego CA 92134-5000. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Long, Matthew can be contacted via phone (802) 338-5164.

Contact Information

Primary practice address
38400 Bob Wilson Dr San Diego CA 92134-5000
Phone: (802) 338-5164
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X

Profile Details

NPI number 1376172932
LBN Legal business name Long, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2020
Last updated Mar 18th, 2021 - 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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