Marshall A. Longnecker, M.D., S.C

LBN: Marshall A. Longnecker, M.D., S.C
Marshall A. Longnecker, M.D., S.C is an health care organization with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty. Marshall A. Longnecker, M.D., S.C can be contacted via phone (920) 433-3500, or through Longnecker, Marshall A via phone (920) 433-3500.

Contact Information

Primary practice address
744 S Webster Ave Green Bay WI 54301-3505
Phone: (920) 433-3500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Longnecker, Marshall A Doctor of Medicine (MD)
Phone: (920) 433-3500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1639125933
LBN Legal business name Marshall A. Longnecker, M.D., S.C
DBA Doing business as
Authorized official Longnecker, Marshall A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639125933 NPPES
Wisconsin MEDICAID 31790300

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