Long, Clinton Arvin
Long, Clinton Arvin is an individual health care provider with primary practice located at 2203 N Fm 1417 , Sherman TX 75092-2351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Long, Clinton Arvin can be contacted via phone (903) 892-2020.Contact Information
Primary practice address
2203 N Fm 1417
Sherman TX 75092-2351
Phone: (903) 892-2020
Fax: (903) 892-0633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | K5338 | Texas |
Profile Details
| NPI number | 1083773428 |
|---|---|
| LBN Legal business name | Long, Clinton Arvin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Apr 24th, 2012 - about 14 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 | 1083773428 | NPPES |
| Texas | Other | 7057235 | AETNA |
| Texas | Other | 8G9440 | AETNA |
| Texas | MEDICAID | 142713002 | AETNA |
| Texas | Other | 180045779 | AETNA |
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