Long, Deanne

Long, Deanne is an individual health care provider with primary practice located at 540 Arapeen Dr Ste 110, Salt Lake City UT 84108-1250. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Long, Deanne can be contacted via phone (801) 582-4268.

Contact Information

Primary practice address
540 Arapeen Dr Ste 110 Salt Lake City UT 84108-1250
Phone: (801) 582-4268
Fax: (801) 582-4269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4752590-1205 Utah
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X 4752590-1205 Utah
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4752590-1205 Utah

Profile Details

NPI number 1023087343
LBN Legal business name Long, Deanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Apr 15th, 2010 - about 16 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 1023087343 NPPES
Utah Other 608789600 W/C
Utah MEDICAID D3567 W/C
Utah Other 10552 W/C
Utah Other 243586 W/C
Utah Other 47525901202001 W/C
Utah Other P00396754 W/C

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