Longo, Nicholas William

Longo, Nicholas William is an individual health care provider with primary practice located at 325 Central Ave Ste 200 , Malvern PA 19355-3265. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Longo, Nicholas William can be contacted via phone (610) 644-6755.

Contact Information

Primary practice address
325 Central Ave Ste 200 Malvern PA 19355-3265
Phone: (610) 644-6755
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X OA004323 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA059486 Pennsylvania

Profile Details

NPI number 1508377250
LBN Legal business name Longo, Nicholas William
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2017
Last updated Oct 21st, 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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