Long, Stephen Layne

Long, Stephen Layne is an individual health care provider with primary practice located at 437 Denison St , Conway AR 72034-6127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Long, Stephen Layne can be contacted via phone (501) 327-1325.

Contact Information

Primary practice address
437 Denison St Conway AR 72034-6127
Phone: (501) 327-1325
Fax: (501) 327-1328
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X C5423 Arkansas
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X C5423 Arkansas

Profile Details

NPI number 1821012089
LBN Legal business name Long, Stephen Layne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Dec 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821012089 NPPES
Arkansas MEDICAID 101307001

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