Long, Richard J

Long, Richard J is an individual health care provider with primary practice located at 5201 Norris Canyon Rd Ste 210 , San Ramon CA 94583-5405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Long, Richard J can be contacted via phone (925) 933-9868.

Contact Information

Primary practice address
5201 Norris Canyon Rd Ste 210 San Ramon CA 94583-5405
Phone: (925) 933-9868
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 014674 Maine
Allopathic & Osteopathic Physicians / Urology 208800000X G89306 California

Profile Details

NPI number 1912903071
LBN Legal business name Long, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Aug 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912903071 NPPES
Maine MEDICAID 331070099

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