Longley, Thomas William
Longley, Thomas William is an individual health care provider with primary practice located at 4208 Central Ave Sw , Albuquerque NM 87105-1695. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Longley, Thomas William can be contacted via phone (505) 777-3001.Contact Information
Primary practice address
4208 Central Ave Sw
Albuquerque NM 87105-1695
Phone: (505) 777-3001
Fax: (505) 808-4977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD2014-0860 | New Mexico |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1245597970 |
|---|---|
| LBN Legal business name | Longley, Thomas William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2012 |
| Last updated | Mar 12th, 2026 - about 8 months 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 | 1245597970 | NPPES |
| New Mexico | MEDICAID | 31459820 |
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