Long, Heidi K

Long, Heidi K is an individual health care provider with primary practice located at 746 Fairmont Rd , Morgantown WV 26501-4060. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Long, Heidi K can be contacted via phone (304) 225-5222.

Contact Information

Primary practice address
746 Fairmont Rd Morgantown WV 26501-4060
Phone: (304) 225-5222
Fax: (304) 225-5224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X West Virginia

Profile Details

NPI number 1174782684
LBN Legal business name Long, Heidi K
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2008
Last updated Mar 26th, 2009 - about 17 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 1174782684 NPPES
West Virginia Other 11880792 CAQH
West Virginia MEDICAID 3810012350 CAQH

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