Long, Cory R.

Long, Cory R. is an individual health care provider with primary practice located at 1000 E Main St , Danville IN 46122-1948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Long, Cory R. can be contacted via phone (317) 745-4451.

Contact Information

Primary practice address
1000 E Main St Danville IN 46122-1948
Phone: (317) 745-4451
Fax: (317) 718-6740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01069779A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 097150 Ohio

Profile Details

NPI number 1689806432
LBN Legal business name Long, Cory R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2009
Last updated Mar 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689806432 NPPES
Indiana Other 000000823438 ANTHEM PIN
Indiana MEDICAID 0076978 ANTHEM PIN
Indiana MEDICAID 201153410 ANTHEM PIN

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