Long, Phillip B.

Long, Phillip B. is an individual health care provider with primary practice located at 100 Jackson Pike , Gallipolis OH 45631-1560. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Long, Phillip B. can be contacted via phone (740) 446-5289.

Contact Information

Primary practice address
100 Jackson Pike Gallipolis OH 45631-1560
Phone: (740) 446-5289
Fax: (740) 446-5697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 18423 West Virginia
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 18423 West Virginia
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 35.062892 Ohio
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35-06-2892 Ohio

Profile Details

NPI number 1770520330
LBN Legal business name Long, Phillip B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jan 21st, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770520330 NPPES
Ohio MEDICAID 0969797
Ohio MEDICAID 1770520330
Ohio Other 940000116
Ohio Other 0969797
Ohio Other 000000006828
Ohio Other 000000190752
Ohio Other 001714084
Ohio MEDICAID 0120547000

Popular Providers