Longeway, John A
Longeway, John A is an sole proprietor health care provider with primary practice located at 905 Main St Suite 615, Klamath Falls OR 97601-5810. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Longeway, John A can be contacted via phone (541) 851-1757.Contact Information
Primary practice address
905 Main St Suite 615
Klamath Falls OR 97601-5810
Phone: (541) 851-1757
Fax: (541) 273-6357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 110536 | Iowa |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 201150088NP | Oregon |
Profile Details
| NPI number | 1952592834 |
|---|---|
| LBN Legal business name | Longeway, John A |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2007 |
| Last updated | Dec 1st, 2011 - about 15 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 | 1952592834 | NPPES |
| Iowa | MEDICAID | 1952592834 |
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