Long, Timothy
Long, Timothy is an sole proprietor health care provider with primary practice located at 2979 N Cannon Blvd , Kannapolis NC 28083-9125. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Long, Timothy can be contacted via phone (704) 855-3728.Contact Information
Primary practice address
2979 N Cannon Blvd
Kannapolis NC 28083-9125
Phone: (704) 855-3728
Fax: (704) 855-4700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2109 | North Carolina |
Profile Details
| NPI number | 1972514826 |
|---|---|
| LBN Legal business name | Long, Timothy |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1972514826 | NPPES |
| North Carolina | MEDICAID | 7908599 |
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