Long, Paul Alan
Long, Paul Alan is an individual health care provider with primary practice located at 2700 Clay Edwards Dr Ste 240 , North Kansas City MO 64116-3254. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Long, Paul Alan can be contacted via phone (816) 691-2021.Contact Information
Primary practice address
2700 Clay Edwards Dr Ste 240
North Kansas City MO 64116-3254
Phone: (816) 691-2021
Fax: (816) 346-7690
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 77428 | Kansas |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 557013 | Kansas |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 145620 | Missouri |
Profile Details
NPI number | 1588761035 |
---|---|
LBN Legal business name | Long, Paul Alan |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 19th, 2006 |
Last updated | Dec 14th, 2019 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588761035 | NPPES |
Kansas | Other | P00991182 | RR MEDICARE |
Kansas | MEDICAID | 200738760A | RR MEDICARE |
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