Long, Theodore

Long, Theodore is an sole proprietor health care provider with primary practice located at 2100 Peabody Rd , Vacaville CA 95687-6639. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Long, Theodore can be contacted via phone (707) 451-0182.

Contact Information

Primary practice address
2100 Peabody Rd Vacaville CA 95687-6639
Phone: (707) 451-0182
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 25432 California

Profile Details

NPI number 1992045454
LBN Legal business name Long, Theodore
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2013
Last updated Feb 20th, 2013 - about 13 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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