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Contact Information

JOSEPH LONGO, DO
1080 W FOND DU LAC ST.
CHN MEDICAL CENTER - RIPON
RIPON, WI54971
 Phone: 920-748-7000
 Fax: 920-748-7236
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOSEPH LONGO · (Male)

NPI # 1023057320
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/05/2006
Last updated 10/24/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 52559-21
  • WI Medicaid 1023057320
Hospital affiliation(s)
  • APPLETON MED CTR - (Acute Care)
    1818 N MEADE ST
    APPLETON, WI 54911
  • BERLIN MEMORIAL HOSPITAL - (Critical Access)
    225 MEMORIAL DRIVE
    BERLIN, WI 54923
  • RIPON MED CTR - (Critical Access)
    933 NEWBURY ST
    RIPON, WI 54971
  • THEDA CLARK MED CTR - (Acute Care)
    130 2ND ST
    NEENAH, WI 54956
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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