Long, Stewart Mclendon

Long, Stewart Mclendon is an individual health care provider with primary practice located at 500 W Broadway St , Missoula MT 59802-4008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Long, Stewart Mclendon can be contacted via phone (406) 329-5612.

Contact Information

Primary practice address
500 W Broadway St Missoula MT 59802-4008
Phone: (406) 329-5612
Fax: (406) 329-5606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 054274 Georgia
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 2020-00263 North Carolina
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MED-PHYS-LIC-11421 Montana

Profile Details

NPI number 1588720007
LBN Legal business name Long, Stewart Mclendon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Aug 1st, 2024 - about 2 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 1588720007 NPPES
North Carolina MEDICAID 1588720007
North Carolina Other NNB571A

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