Long, Tyler Jon

Long, Tyler Jon is an sole proprietor health care provider with primary practice located at 3700 S Main St , Blacksburg VA 24060-7017. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Long, Tyler Jon can be contacted via phone (540) 953-5445.

Contact Information

Primary practice address
3700 S Main St Blacksburg VA 24060-7017
Phone: (540) 953-5445
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0116034370 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1851954242
LBN Legal business name Long, Tyler Jon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2019
Last updated Feb 13th, 2023 - about 2 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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