Long, Gregory
Long, Gregory is an sole proprietor health care provider with primary practice located at 1400 W Northwest Hwy 260, Grapevine TX 76051-8113. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Long, Gregory can be contacted via phone (817) 319-9962.Contact Information
Primary practice address
1400 W Northwest Hwy 260
Grapevine TX 76051-8113
Phone: (817) 319-9962
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 11080 | Texas |
Profile Details
| NPI number | 1912322868 |
|---|---|
| LBN Legal business name | Long, Gregory |
| Credentials | LCDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2014 |
| Last updated | Mar 2nd, 2014 - about 12 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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