Long, Sharon M

Long, Sharon M is an individual health care provider with primary practice located at 601 E 15Th St , Austin TX 78701-1930. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Long, Sharon M can be contacted via phone (512) 324-7000.

Contact Information

Primary practice address
601 E 15Th St Austin TX 78701-1930
Phone: (512) 324-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X F92851 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X J4306 Texas

Profile Details

NPI number 1720042930
LBN Legal business name Long, Sharon M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated May 19th, 2010 - about 15 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 1720042930 NPPES
Texas MEDICAID 119017504

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