Long, Shawn E

Long, Shawn E is an individual health care provider with primary practice located at 1027 Memorial Dr , Oakland MD 21550-4343. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Long, Shawn E can be contacted via phone (301) 533-3300.

Contact Information

Primary practice address
1027 Memorial Dr Oakland MD 21550-4343
Phone: (301) 533-3300
Fax: (301) 533-3299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20683 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0078630 Maryland

Profile Details

NPI number 1639275332
LBN Legal business name Long, Shawn E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Apr 1st, 2020 - about 4 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 1639275332 NPPES
West Virginia MEDICAID 2005302000
West Virginia MEDICAID 402362500

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