Long, William P

Long, William P is an individual health care provider with primary practice located at 215 E 1St St , Dixon IL 61021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Long, William P can be contacted via phone (815) 288-7711.

Contact Information

Primary practice address
215 E 1St St Dixon IL 61021
Phone: (815) 288-7711
Fax: (815) 285-8930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036-098381 Illinois

Profile Details

NPI number 1568430460
LBN Legal business name Long, William P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Aug 27th, 2018 - about 6 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 1568430460 NPPES
Illinois MEDICAID 036098381
Illinois Other K05115

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