Michael E Longevin Mdsc

LBN: Michael E Longevin Mdsc
Michael E Longevin Mdsc is an health care organization with primary practice located at 5401 N Knoxville Ave Suite 112, Peoria IL 61614-5098. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Michael E Longevin Mdsc can be contacted via phone (309) 692-5828, or through Longevin, Michael E via phone (309) 692-5828.

Contact Information

Primary practice address
5401 N Knoxville Ave Suite 112 Peoria IL 61614-5098
Phone: (309) 692-5828
Fax: (309) 692-5904
Website:
Map and Directions
Authorized official contact:
Name: Longevin, Michael E Doctor of Medicine (MD)
Phone: (309) 692-5828

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036-072215 Illinois

Profile Details

NPI number 1578870556
LBN Legal business name Michael E Longevin Mdsc
DBA Doing business as
Authorized official Longevin, Michael E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2010
Last updated Sep 23rd, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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