Longo, Charles A

Longo, Charles A is an individual health care provider with primary practice located at 1515 Delhi St Ste 100, Dubuque IA 52001-6320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Longo, Charles A can be contacted via phone (563) 557-9111.

Contact Information

Primary practice address
1515 Delhi St Ste 100 Dubuque IA 52001-6320
Phone: (563) 557-9111
Fax: (563) 589-4046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 20324 Iowa

Profile Details

NPI number 1700855186
LBN Legal business name Longo, Charles A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Oct 18th, 2007 - about 19 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 1700855186 NPPES
Iowa MEDICAID 0152744
Iowa MEDICAID 30225800

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