Long, William T
Long, William T is an sole proprietor health care provider with primary practice located at 1300 N Vermont Ave Ste 100 , Los Angeles CA 90027-6061. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Long, William T can be contacted via phone (323) 913-4300.Contact Information
Primary practice address
1300 N Vermont Ave Ste 100
Los Angeles CA 90027-6061
Phone: (323) 913-4300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | G60239 | California |
Profile Details
| NPI number | 1023067055 |
|---|---|
| LBN Legal business name | Long, William T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2006 |
| Last updated | Oct 11th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023067055 | NPPES |
| California | MEDICAID | 00G602390 |
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