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
Fax: (816) 346-7690
Website:

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588761035 NPPES
Kansas Other P00991182 RR MEDICARE
Kansas MEDICAID 200738760A RR MEDICARE

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