Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY LEE LONG JR.
Active Sole ProprietorMR. JERRY LEE LONG JR. is a Customized Equipment (DME) healthcare provider located in SAINT LOUIS, Missouri. NPI 1881240349 is currently active in the NPPES registry. Verify at CMS.
Customized Equipment (DME) · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1881240349
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2019 (7.0153914550759 yrs)
- Last Updated
- Aug 12, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
6654 BITTEROOT LNSAINT LOUIS, MO, 631341451Browse MO providers · Browse ZIP 63134
- Phone
- 8134941282
- Primary Specialty
-
Customized Equipment (DME)
332BC3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.