Long, John Alva

Long, John Alva is an individual health care provider with primary practice located at 1000 19Th St S , Birmingham AL 35205-4804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Long, John Alva can be contacted via phone (205) 930-0700.

Contact Information

Primary practice address
1000 19Th St S Birmingham AL 35205-4804
Phone: (205) 930-0700
Fax: (205) 930-9127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 14053 Alabama

Profile Details

NPI number 1861495384
LBN Legal business name Long, John Alva
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2005
Last updated Apr 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861495384 NPPES
Alabama MEDICAID 000080153

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