Longo, John N
Longo, John N is an sole proprietor health care provider with primary practice located at 715 Bloomfield Ave , Nutley NJ 07110-1021. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Longo, John N can be contacted via phone (973) 661-2303.Contact Information
Primary practice address
715 Bloomfield Ave
Nutley NJ 07110-1021
Phone: (973) 661-2303
Fax: (973) 661-9141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 38MC00205200 | New Jersey |
Profile Details
| NPI number | 1225093263 |
|---|---|
| LBN Legal business name | Longo, John N |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Jun 9th, 2008 - about 16 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 | 1225093263 | NPPES |
| New Jersey | MEDICAID | 1474103 | |
| New Jersey | Other | 2707222 | |
| New Jersey | Other | 2K0567 | |
| New Jersey | Other | P-12015796 | |
| New Jersey | Other | 300051 | |
| New Jersey | Other | 0645815000 | |
| New Jersey | Other | 476158 | |
| New Jersey | Other | 812454 | |
| New Jersey | Other | 0103960000 | |
| New Jersey | Other | 339061 | |
| New Jersey | Other | 5802244 | |
| New Jersey | Other | NJ02052 | |
| New Jersey | Other | P2579971 | |
| New Jersey | Other | X2528 |
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