Long, Nicole C.

Long, Nicole C. is an individual health care provider with primary practice located at 320 Central City Plz , New Kensington PA 15068-6441. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Long, Nicole C. can be contacted via phone (724) 335-5721.

Contact Information

Primary practice address
320 Central City Plz New Kensington PA 15068-6441
Phone: (724) 335-5721
Fax: (724) 335-5778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG002241 Pennsylvania

Profile Details

NPI number 1851521660
LBN Legal business name Long, Nicole C.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2009
Last updated Dec 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851521660 NPPES
Pennsylvania MEDICAID 1025773000001

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