Long, Thomas J

Long, Thomas J is an sole proprietor health care provider with primary practice located at 3201 W Peoria Ave Suite D800, Phoenix AZ 85029-4608. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Long, Thomas J can be contacted via phone (602) 866-2231.

Contact Information

Primary practice address
3201 W Peoria Ave Suite D800 Phoenix AZ 85029-4608
Phone: (602) 866-2231
Fax: (602) 866-2261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5239 Arizona

Profile Details

NPI number 1053304840
LBN Legal business name Long, Thomas J
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2005
Last updated Apr 8th, 2016 - about 10 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 1053304840 NPPES
Arizona Other AZ0460200 BCBS
Arizona Other 007171346 BCBS
Arizona MEDICAID 511198 BCBS

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