Long, Lessie Ellen

Long, Lessie Ellen is an sole proprietor health care provider with primary practice located at 925 Highway V V , Kennett MO 63857-3866. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Long, Lessie Ellen can be contacted via phone (573) 359-2600.

Contact Information

Primary practice address
925 Highway V V Kennett MO 63857-3866
Phone: (573) 359-2600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1811471592
LBN Legal business name Long, Lessie Ellen
Credentials CPS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2018
Last updated Sep 19th, 2018 - about 8 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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