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Contact Information

MARSHALL C LONG, DO
118 12TH STREET EXT
PRINCETON, WV24740
 Phone: 304-487-7936
 Fax: 304-487-7835
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARSHALL C LONG · (Male)

NPI # 1487718672
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 12/21/2006
Last updated 09/24/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • WV License # WV913
  • WV Medicaid 0052039000
Hospital affiliation(s)
  • PRINCETON COMMUNITY HOSPITAL - (Acute Care)
    122 12TH STREET
    PRINCETON, WV 24740
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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