Long, Michael Scott

Long, Michael Scott is an sole proprietor health care provider with primary practice located at 4920 Ne Stallings Dr , Nacogdoches TX 75965-1254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Long, Michael Scott can be contacted via phone (972) 526-0340.

Contact Information

Primary practice address
4920 Ne Stallings Dr Nacogdoches TX 75965-1254
Phone: (972) 526-0340
Fax: (972) 996-1857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X OS015429 Pennsylvania
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X QQ498 Texas

Profile Details

NPI number 1043560691
LBN Legal business name Long, Michael Scott
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2012
Last updated Dec 22nd, 2015 - about 10 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 1043560691 NPPES
Texas Other 8EM612 BLUE CROSS BLUE SHIELD
Texas MEDICAID 337951301 BLUE CROSS BLUE SHIELD
Texas MEDICAID 337951302 BLUE CROSS BLUE SHIELD
Texas Other P01360899 BLUE CROSS BLUE SHIELD
Texas Other 8EK438 BLUE CROSS BLUE SHIELD

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