Long, Nathan D

Long, Nathan D is an individual health care provider with primary practice located at 564 S Woodruff Ave , Idaho Falls ID 83401. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Long, Nathan D can be contacted via phone (208) 523-7571.

Contact Information

Primary practice address
564 S Woodruff Ave Idaho Falls ID 83401
Phone: (208) 523-7571
Fax: (208) 523-7573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT00004503 Washington

Profile Details

NPI number 1740489293
LBN Legal business name Long, Nathan D
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2007
Last updated Jun 18th, 2018 - about 6 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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