Longacre, Steven E

Longacre, Steven E is an sole proprietor health care provider with primary practice located at 1255 Reese Ln , Azle TX 76020-1539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Longacre, Steven E can be contacted via phone (214) 632-1863.

Contact Information

Primary practice address
1255 Reese Ln Azle TX 76020-1539
Phone: (214) 632-1863
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X K8305 Texas

Profile Details

NPI number 1417933516
LBN Legal business name Longacre, Steven E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2005
Last updated Feb 12th, 2013 - about 12 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 1417933516 NPPES
Texas Other 0082GX BLUE CROSS BLUE SHIELD
Texas MEDICAID 047631901 BLUE CROSS BLUE SHIELD
Texas MEDICAID 047631903 BLUE CROSS BLUE SHIELD
Texas Other 89771N BLUE CROSS BLUE SHIELD
Texas Other 930078743 BLUE CROSS BLUE SHIELD

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