Long, Deborah A.
Long, Deborah A. is an individual health care provider with primary practice located at 1090 Spratt St , Fort Mill SC 29715-8226. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Long, Deborah A. can be contacted via phone (803) 547-5547.Contact Information
Primary practice address
1090 Spratt St
Fort Mill SC 29715-8226
Phone: (803) 547-5547
Fax: (803) 547-5724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 677 | South Carolina |
Profile Details
| NPI number | 1710968326 |
|---|---|
| LBN Legal business name | Long, Deborah A. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Mar 8th, 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 | 1710968326 | NPPES |
| South Carolina | MEDICAID | D06777 |
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