Long, Jay Charles

Long, Jay Charles is an individual health care provider with primary practice located at 48 Medical Park Dr E Suite 150, Birmingham AL 35235-3400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Long, Jay Charles can be contacted via phone (205) 833-6907.

Contact Information

Primary practice address
48 Medical Park Dr E Suite 150 Birmingham AL 35235-3400
Phone: (205) 833-6907
Fax: (205) 833-6987
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 24476 Alabama

Profile Details

NPI number 1346293628
LBN Legal business name Long, Jay Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Feb 22nd, 2010 - about 16 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 1346293628 NPPES
Alabama Other 051003774 BCBS

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