Nguyen, Long

Nguyen, Long is an individual health care provider with primary practice located at N2934 State Road 22 , Wautoma WI 54982-5267. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nguyen, Long can be contacted via phone (920) 787-4613.

Contact Information

Primary practice address
N2934 State Road 22 Wautoma WI 54982-5267
Phone: (920) 787-4613
Fax: (920) 787-5433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 72993 Wisconsin

Profile Details

NPI number 1962817700
LBN Legal business name Nguyen, Long
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2014
Last updated Dec 27th, 2023 - about last year

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 1962817700 NPPES
Wisconsin MEDICAID 100101735

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