Longnecker, Betsy K

Longnecker, Betsy K is an individual health care provider with primary practice located at 2401 W University Ave , Muncie IN 47303-3428. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Longnecker, Betsy K can be contacted via phone (765) 741-1515.

Contact Information

Primary practice address
2401 W University Ave Muncie IN 47303-3428
Phone: (765) 741-1515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000384A Indiana

Profile Details

NPI number 1700887601
LBN Legal business name Longnecker, Betsy K
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Apr 4th, 2017 - about 9 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 1700887601 NPPES
Indiana Other 000000976667 ANTHEM
Indiana Other 000001050321 ANTHEM
Indiana MEDICAID 2445894 ANTHEM
Indiana MEDICAID 200450860 ANTHEM

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