Long, Stephenie R.

Long, Stephenie R. is an individual health care provider with primary practice located at 193 Main St , Norway ME 04268-5645. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Long, Stephenie R. can be contacted via phone (207) 743-2544.

Contact Information

Primary practice address
193 Main St Norway ME 04268-5645
Phone: (207) 743-2544
Fax: (207) 393-3132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 022299 Louisiana
Allopathic & Osteopathic Physicians / Surgery 208600000X MD25594 Maine

Profile Details

NPI number 1619992799
LBN Legal business name Long, Stephenie R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Mar 22nd, 2022 - about 4 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 1619992799 NPPES
Louisiana MEDICAID 1480517

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