Long, Matthew

Long, Matthew is an individual health care provider with primary practice located at 3371 Parker Hill Rd , Santa Rosa CA 95404-1732. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Long, Matthew can be contacted via phone (707) 535-0289.

Contact Information

Primary practice address
3371 Parker Hill Rd Santa Rosa CA 95404-1732
Phone: (707) 535-0289
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1457879587
LBN Legal business name Long, Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2017
Last updated Apr 12th, 2024 - about last year

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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