Long, Daniel J

Long, Daniel J is an individual health care provider with primary practice located at 113 3Rd Ave Nw , Mandan ND 58554-3129. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Long, Daniel J can be contacted via phone (701) 663-2020.

Contact Information

Primary practice address
113 3Rd Ave Nw Mandan ND 58554-3129
Phone: (701) 663-2020
Fax: (701) 667-2057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 383 North Dakota

Profile Details

NPI number 1891894564
LBN Legal business name Long, Daniel J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Oct 25th, 2007 - about 19 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 1891894564 NPPES
North Dakota MEDICAID 60231

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