Long, Richard L.

Long, Richard L. is an individual health care provider with primary practice located at 201 St. Ann Drive Suite B, Mandeville LA 70471. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Long, Richard L. can be contacted via phone (985) 626-1717.

Contact Information

Primary practice address
201 St. Ann Drive Suite B Mandeville LA 70471
Phone: (985) 626-1717
Fax: (985) 674-2814
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10861 Mississippi
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 000041 Louisiana

Profile Details

NPI number 1407891443
LBN Legal business name Long, Richard L.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 31st, 2012 - about 13 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 1407891443 NPPES
Louisiana MEDICAID 1459992

Popular Providers