Long, Nancy

Long, Nancy is an individual health care provider with primary practice located at 130 N Richard Pryor Pl , Peoria IL 61605-2484. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Long, Nancy can be contacted via phone (309) 671-8084.

Contact Information

Primary practice address
130 N Richard Pryor Pl Peoria IL 61605-2484
Phone: (309) 671-8084
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.003331 Illinois

Profile Details

NPI number 1629407044
LBN Legal business name Long, Nancy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2013
Last updated Nov 6th, 2013 - about 13 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 1629407044 NPPES
Illinois Other 180.003331 IL LCPC

Popular Providers