Longley, B Jack

Longley, B Jack is an individual health care provider with primary practice located at 8 N Prospect Ave , Madison WI 53726-3936. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Longley, B Jack can be contacted via phone (000) 000-0000.

Contact Information

Primary practice address
8 N Prospect Ave Madison WI 53726-3936
Phone: (000) 000-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 43952 Wisconsin

Profile Details

NPI number 1609835669
LBN Legal business name Longley, B Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jan 15th, 2021 - about 5 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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