Longbotham, Steven M
Longbotham, Steven M is an individual health care provider with primary practice located at 610 30Th Ave W Alexandria Clinic, Alexandria MN 56308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Longbotham, Steven M can be contacted via phone (320) 763-5123.Contact Information
Primary practice address
610 30Th Ave W Alexandria Clinic
Alexandria MN 56308
Phone: (320) 763-5123
Fax: (320) 763-7883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 29610 | Minnesota |
Profile Details
| NPI number | 1629058581 |
|---|---|
| LBN Legal business name | Longbotham, Steven M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Aug 9th, 2013 - about 12 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 | 1629058581 | NPPES |
| Minnesota | Other | 080050453 | RR MEDICARE |
| Minnesota | MEDICAID | 133380100 | RR MEDICARE |
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