Long, Libby A.

Long, Libby A. is an individual health care provider with primary practice located at 1370 Gateway Blvd. Suite 110, Murfreesboro TN 37129. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Long, Libby A. can be contacted via phone (615) 890-9008.

Contact Information

Primary practice address
1370 Gateway Blvd. Suite 110 Murfreesboro TN 37129
Phone: (615) 890-9008
Fax: (615) 890-0193
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-112878 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD0000041089 Tennessee

Profile Details

NPI number 1083608764
LBN Legal business name Long, Libby A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jun 10th, 2014 - about 11 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

Identifiers

StateTypeNumberIssuer
All States NPI 1083608764 NPPES
Tennessee MEDICAID 5440829
Tennessee MEDICAID 036112878

Popular Providers