Long, Jacob

Long, Jacob is an sole proprietor health care provider with primary practice located at 803 Us Highway 70A E , Hillsborough NC 27278-8528. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Long, Jacob can be contacted via phone (919) 417-9211.

Contact Information

Primary practice address
803 Us Highway 70A E Hillsborough NC 27278-8528
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X A12428 North Carolina

Profile Details

NPI number 1083161137
LBN Legal business name Long, Jacob
Credentials MED, LPCA, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2016
Last updated Sep 7th, 2016 - about 10 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.

Request for update

Popular Providers