Long, Mitchell D

Long, Mitchell D is an individual health care provider with primary practice located at 1512 12Th Ave Rd , Nampa ID 83686-6008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Long, Mitchell D can be contacted via phone (208) 463-5100.

Contact Information

Primary practice address
1512 12Th Ave Rd Nampa ID 83686-6008
Phone: (208) 463-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0-273 Idaho

Profile Details

NPI number 1760405534
LBN Legal business name Long, Mitchell D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - about 19 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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