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Contact Information

WILLIAM P LONG, MD
1141 WHITNEY AVE
BUILDING 3
GRETNA, LA70056-5011
 Phone: 504-361-3757
 Fax: 504-361-3132
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ZD0900X 22 Physician/Pathology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for WILLIAM P LONG · (Male)

NPI Number 1043368723
Status Active
Credentials MD
Entity Individual
Enumeration date 01/08/2007
Last updated 06/15/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 023755
  • LA Medicaid 1488437
  • MS Medicaid 04930021
Hospital affiliation(s) Not Available
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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