Long, Elizabeth K

Long, Elizabeth K is an individual health care provider with primary practice located at 20375 W 151St St Suite 463, Olathe KS 66061-7218. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Long, Elizabeth K can be contacted via phone (913) 782-8577.

Contact Information

Primary practice address
20375 W 151St St Suite 463 Olathe KS 66061-7218
Phone: (913) 782-8577
Fax: (913) 782-2616
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0427739 Kansas

Profile Details

NPI number 1619028271
LBN Legal business name Long, Elizabeth K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Aug 8th, 2011 - about 15 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 1619028271 NPPES
Other 31382033 BCBS OF KANSAS CITY
Other 7605358 BCBS OF KANSAS CITY
MEDICAID 100416840C BCBS OF KANSAS CITY
Other P00297952 BCBS OF KANSAS CITY

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