Long, Summer Dawn

Long, Summer Dawn is an individual health care provider with primary practice located at 743 Horizon Court Ste 105, Grand Junction CO 81506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Long, Summer Dawn can be contacted via phone (970) 244-8708.

Contact Information

Primary practice address
743 Horizon Court Ste 105 Grand Junction CO 81506
Phone: (970) 244-8708
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2182 Colorado

Profile Details

NPI number 1518903574
LBN Legal business name Long, Summer Dawn
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jan 14th, 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 1518903574 NPPES
Colorado MEDICAID 86334051

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