Long, Peggy
Long, Peggy is an sole proprietor health care provider with primary practice located at 1650 Westminster Road , Wilkes Barre PA 18702-9684. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Long, Peggy can be contacted via phone (570) 825-3748.Contact Information
Primary practice address
1650 Westminster Road
Wilkes Barre PA 18702-9684
Phone: (570) 825-3748
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SL003802L | Pennsylvania |
Profile Details
| NPI number | 1316082779 |
|---|---|
| LBN Legal business name | Long, Peggy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Aug 5th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316082779 | NPPES |
| Pennsylvania | Other | 0018747000002 | MEDICAL ASSISTANCE |
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