Longin, Evan Mark
Longin, Evan Mark is an sole proprietor health care provider with primary practice located at 204 Lafayette St , Salem MA 01970-4721. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Longin, Evan Mark can be contacted via phone (978) 744-5006.Contact Information
Primary practice address
204 Lafayette St
Salem MA 01970-4721
Phone: (978) 744-5006
Fax: (978) 744-9799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1693 | Massachusetts |
Profile Details
| NPI number | 1902981079 |
|---|---|
| LBN Legal business name | Longin, Evan Mark |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2006 |
| Last updated | May 13th, 2014 - about 11 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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