Longtchi, Gedeon

Longtchi, Gedeon is an sole proprietor health care provider with primary practice located at 2454 Vineyard Ln , Crofton MD 21114-1116. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Longtchi, Gedeon can be contacted via phone (240) 353-2357.

Contact Information

Primary practice address
2454 Vineyard Ln Crofton MD 21114-1116
Phone: (240) 353-2357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN1026502 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R199900 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R162583 Maryland

Profile Details

NPI number 1689157331
LBN Legal business name Longtchi, Gedeon
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2018
Last updated Jun 1st, 2022 - about 3 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 1689157331 NPPES
Maryland MEDICAID 1689157331

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