Longan, Robert D.
Longan, Robert D. is an sole proprietor health care provider with primary practice located at 441 Broadway Box 696, Imperial NE 69033-0696. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Longan, Robert D. can be contacted via phone (308) 882-5532.Contact Information
Primary practice address
441 Broadway Box 696
Imperial NE 69033-0696
Phone: (308) 882-5532
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 945 | Nebraska |
Profile Details
| NPI number | 1336144336 |
|---|---|
| LBN Legal business name | Longan, Robert D. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jul 2nd, 2010 - about 16 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 | 1336144336 | NPPES |
| Nebraska | Other | 21-5705010 | STATE EMPLOYER (SIN) |
| Nebraska | Other | 47-0718052 | STATE EMPLOYER (SIN) |
| Nebraska | MEDICAID | 470718052-00 | STATE EMPLOYER (SIN) |
| Nebraska | Other | 09704 | STATE EMPLOYER (SIN) |
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