Long, William David

Long, William David is an individual health care provider with primary practice located at 3704 North Blvd Suite 1, Alexandria LA 71301-3606. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Long, William David can be contacted via phone (318) 442-8399.

Contact Information

Primary practice address
3704 North Blvd Suite 1 Alexandria LA 71301-3606
Phone: (318) 442-8399
Fax: (318) 448-9897
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 024926 Louisiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 024926 Louisiana
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 024926 Louisiana

Profile Details

NPI number 1992767404
LBN Legal business name Long, William David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated May 9th, 2011 - 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 1992767404 NPPES
Louisiana MEDICAID 04446
Louisiana Other P00325542

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