Longley, Michael Charles

Longley, Michael Charles is an individual health care provider with primary practice located at 13616 California St Ste 100, Omaha NE 68154-5335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Longley, Michael Charles can be contacted via phone (402) 496-0404.

Contact Information

Primary practice address
13616 California St Ste 100 Omaha NE 68154-5335
Phone: (402) 496-0404
Fax: (402) 496-0517
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 18765 Nebraska

Profile Details

NPI number 1770586182
LBN Legal business name Longley, Michael Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated May 24th, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770586182 NPPES
Nebraska Other 03070 BCBS
Nebraska Other 200031845 BCBS
Nebraska MEDICAID 47081304012 BCBS
Nebraska MEDICAID 3989848 BCBS

Popular Providers