Long, Susan

Long, Susan is an individual health care provider with primary practice located at 3300 E South St Ste 308 , Lakewood CA 90805-4598. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Long, Susan can be contacted via phone (562) 630-3111.

Contact Information

Primary practice address
3300 E South St Ste 308 Lakewood CA 90805-4598
Phone: (562) 630-3111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95015362 California

Profile Details

NPI number 1023691334
LBN Legal business name Long, Susan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2021
Last updated May 4th, 2021 - about 3 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 1023691334 NPPES
California Other 95015362 NP LICENSE

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