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Contact Information

CALINE D LONG, PA
5000 MEMORIAL DR
TWO RIVERS, WI54241
 Phone: 920-794-5125
 Fax: 920-794-5465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CALINE D LONG · (Female)

NPI Number 1851663017
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 02/03/2012
Last updated 04/28/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • NC License # 0010-03270
  • WI License # 4310
  • WI Medicaid 1851663017
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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