Lin, Charlie Jyun Long
Lin, Charlie Jyun Long is an individual health care provider with primary practice located at 6565 West Loop S Ste 525 , Bellaire TX 77401-3519. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Lin, Charlie Jyun Long can be contacted via phone (713) 661-7888.Contact Information
Primary practice address
6565 West Loop S Ste 525
Bellaire TX 77401-3519
Phone: (713) 661-7888
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP136470 | Texas |
Profile Details
| NPI number | 1780183483 |
|---|---|
| LBN Legal business name | Lin, Charlie Jyun Long |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2018 |
| Last updated | Aug 6th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780183483 | NPPES |
| Texas | MEDICAID | 386490201 |
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