Long, Nikki
Long, Nikki is an individual health care provider with primary practice located at 1600 Hospital Pkwy , Bedford TX 76022-6913. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Long, Nikki can be contacted via phone (817) 685-4000.Contact Information
Primary practice address
1600 Hospital Pkwy
Bedford TX 76022-6913
Phone: (817) 685-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | L4538 | Texas |
Profile Details
| NPI number | 1831175777 |
|---|---|
| LBN Legal business name | Long, Nikki |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Oct 20th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831175777 | NPPES |
| Texas | MEDICAID | 158403901 | |
| Texas | Other | 8G7452 | |
| Texas | MEDICAID | 158403906 | |
| Texas | Other | P00026012 | |
| Texas | Other | 8F4449 | |
| Texas | Other | P00052875 | |
| Texas | Other | P00427826 |
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