Long, Robert Craig
Long, Robert Craig is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has 4 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Long, Robert Craig can be contacted via phone (601) 984-5601.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | E09167 | Mississippi |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 19752 | Mississippi |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 19752 | Mississippi |
| Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology | 207RA0001X | 19752 | Mississippi |
Profile Details
| NPI number | 1639383532 |
|---|---|
| LBN Legal business name | Long, Robert Craig |
| Credentials | M.D., PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2007 |
| Last updated | Jun 6th, 2017 - about 7 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 | 1639383532 | NPPES |
| Mississippi | Other | P01330224 | RAILROAD MEDICARE PTAN |
| Mississippi | MEDICAID | 2406639 | RAILROAD MEDICARE PTAN |
| Mississippi | MEDICAID | 133721 | RAILROAD MEDICARE PTAN |
| Mississippi | MEDICAID | 00121925 | RAILROAD MEDICARE PTAN |
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