Long, Jacob

Long, Jacob is an individual health care provider with primary practice located at 701 Grove Rd , Greenville SC 29605-4210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Long, Jacob can be contacted via phone (864) 455-7895.

Contact Information

Primary practice address
701 Grove Rd Greenville SC 29605-4210
Phone: (864) 455-7895
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X LL89833 South Carolina

Profile Details

NPI number 1790356442
LBN Legal business name Long, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2021
Last updated Jun 28th, 2023 - about 3 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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