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:
Health care specialties
Specialty | Code | License # | 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 8 months 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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