Longbella, Chris R

Longbella, Chris R is an individual health care provider with primary practice located at 3213 Stein Blvd. , Eau Claire WI 54701-6946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Longbella, Chris R can be contacted via phone (715) 836-9242.

Contact Information

Primary practice address
3213 Stein Blvd. Eau Claire WI 54701-6946
Phone: (715) 836-9242
Fax: (715) 836-7847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 33889 Wisconsin

Profile Details

NPI number 1992804413
LBN Legal business name Longbella, Chris R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Mar 11th, 2022 - about 3 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 1992804413 NPPES
Wisconsin MEDICAID 31898900

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