Longfellow, Matthew

Longfellow, Matthew is an sole proprietor health care provider with primary practice located at 7509 Charlestown Pike , Charlestown IN 47111-9623. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Longfellow, Matthew can be contacted via phone (812) 256-4686.

Contact Information

Primary practice address
7509 Charlestown Pike Charlestown IN 47111-9623
Phone: (812) 256-4686
Fax: (812) 256-4415
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 101YA0400X Indiana

Profile Details

NPI number 1194182675
LBN Legal business name Longfellow, Matthew
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2016
Last updated Jan 28th, 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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