Long, William Jeffrey

Long, William Jeffrey is an individual health care provider with primary practice located at 1051 Gause Blvd Ste 320, Slidell LA 70458-2988. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Long, William Jeffrey can be contacted via phone (985) 726-2655.

Contact Information

Primary practice address
1051 Gause Blvd Ste 320 Slidell LA 70458-2988
Fax: (985) 643-9808
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 017055 Louisiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 7248 New Hampshire

Profile Details

NPI number 1093718439
LBN Legal business name Long, William Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Mar 24th, 2010 - about 14 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 1093718439 NPPES
Mississippi MEDICAID 09013682
Mississippi MEDICAID 1389480

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