Long, Robert Craig

Long, Robert Craig is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has 4 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Long, Robert Craig can be contacted via phone (601) 984-5601.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X E09167 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19752 Mississippi
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 19752 Mississippi
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 19752 Mississippi

Profile Details

NPI number 1639383532
LBN Legal business name Long, Robert Craig
Credentials M.D., PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Jun 6th, 2017 - about 9 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 1639383532 NPPES
Mississippi Other P01330224 RAILROAD MEDICARE PTAN
Mississippi MEDICAID 2406639 RAILROAD MEDICARE PTAN
Mississippi MEDICAID 133721 RAILROAD MEDICARE PTAN
Mississippi MEDICAID 00121925 RAILROAD MEDICARE PTAN

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