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Contact Information

JEFFREY P LONG, MD
8166 MAIN ST
STE 101
HOUMA, LA70360-3404
 Phone: 985-876-9045
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0203X
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

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

NPI Number 1629177936
Status Active
Credentials MD
Entity Individual
Enumeration date 09/22/2006
Last updated 12/28/2011 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 202753
  • WA License # MD00038248
  • LA Medicaid 1450243
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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