Long, Max

Long, Max is an individual health care provider with primary practice located at 683 State Ave Ste B , Dickinson ND 58601-4660. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Long, Max can be contacted via phone (701) 483-9400.

Contact Information

Primary practice address
683 State Ave Ste B Dickinson ND 58601-4660
Phone: (701) 483-9400
Fax: (701) 483-9398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 202 North Dakota

Profile Details

NPI number 1760571137
LBN Legal business name Long, Max
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760571137 NPPES
North Dakota Other 19833 BLUE CROSS
North Dakota MEDICAID 52263 BLUE CROSS

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