Longley, Erin Joy

Longley, Erin Joy is an individual health care provider with primary practice located at 10510 Gravelly Lake Drive , Lakewood WA 98499. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Longley, Erin Joy can be contacted via phone (253) 589-7030.

Contact Information

Primary practice address
10510 Gravelly Lake Drive Lakewood WA 98499
Phone: (253) 589-7030
Fax: (253) 589-7033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A76567 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00044402 Washington

Profile Details

NPI number 1295727881
LBN Legal business name Longley, Erin Joy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Feb 1st, 2023 - about 3 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 1295727881 NPPES
Washington MEDICAID 8445652

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