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NPI Lookup from the NPI Registry — National Provider Identifier Database

JAMES E LONG SR, PA-C – NPI #1124165626
Medical


Contact Information

JAMES E LONG SR, PA-C
300A NW 1ST AVE
WILLISTON, FL32696-2006
 Phone: 352-529-0966
 Fax: 352-529-0967
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Medical

363AM0700X
Indicates primary specialty
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NPI Information for JAMES E LONG SR · (Male)

NPI Number 1124165626
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/31/2007
Last updated 04/29/2014 - About 7 months ago
Sole proprietor 1 No
Identifiers
FL License # PA2538
FL Medicaid 004428900
FL Medicare PIN E1381Y
FL Other Y09KU BCBS
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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