Longos, Cathy Evans
Longos, Cathy Evans is an individual health care provider with primary practice located at 22A Glen Ed Professional Park , Glen Carbon IL 62034. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is her primary health care specialty. Longos, Cathy Evans can be contacted via phone (618) 656-7615.Contact Information
Primary practice address
22A Glen Ed Professional Park
Glen Carbon IL 62034
Phone: (618) 656-7615
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 019021729 | Illinois |
Dental Providers / Endodontics | 1223E0200X | 021001620 | Illinois |
Profile Details
NPI number | 1114088812 |
---|---|
LBN Legal business name | Longos, Cathy Evans |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 13th, 2006 |
Last updated | Jun 21st, 2016 - about 9 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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