Longo, James
Longo, James is an sole proprietor health care provider with primary practice located at 365 Montauk Avenue , New London CT 06320. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Longo, James can be contacted via phone (860) 442-0711.Contact Information
Primary practice address
365 Montauk Avenue
New London CT 06320
Phone: (860) 442-0711
Fax: (860) 444-4767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 000098 | Connecticut |
Profile Details
| NPI number | 1164644126 |
|---|---|
| LBN Legal business name | Longo, James |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2007 |
| Last updated | Feb 19th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164644126 | NPPES |
| Connecticut | MEDICAID | 4024972 | |
| Connecticut | MEDICAID | 4014679 |
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