Long, Susan E.
Long, Susan E. is an individual health care provider with primary practice located at 1 Amalia Dr , Buckhannon WV 26201-2239. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Long, Susan E. can be contacted via phone (304) 473-2000.Contact Information
Primary practice address
1 Amalia Dr
Buckhannon WV 26201-2239
Phone: (304) 473-2000
Fax: (304) 473-2180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 18992 | West Virginia |
Profile Details
| NPI number | 1619998283 |
|---|---|
| LBN Legal business name | Long, Susan E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Apr 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619998283 | NPPES |
| West Virginia | MEDICAID | 0126735000 |
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