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Contact Information

LONGVIEW SURGICAL GROUP
1615 DELAWARE ST
SUITE 200
LONGVIEW, WA98632
 Phone: 360-501-3500
 Fax: 360-501-3555
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LONGVIEW SURGICAL GROUP · (Female)

NPI Number 1851307078
Status Active
Credentials
Entity Individual
Enumeration date 07/31/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA Medicaid 7715501
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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