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Contact Information

JANE A LONGEST, PA
9715 HEALTHWAY DR
BERLIN, MD21811
 Phone: 410-548-2343
 Fax: 844-332-3891
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JANE A LONGEST · (Female)

NPI Number 1194041590
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 04/12/2010
Last updated 06/17/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • DE License # C5-0000817
  • DE Other C5-0000817 PROFESSIONAL -PHYSICIAN ASSISTANT
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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