Individual
MAX LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
683 STATE AVE STE B, DICKINSON, ND 58601-4660
(701) 483-9400
(701) 483-9398
Mailing address
683 STATE AVE STE B, DICKINSON, ND 58601-4660
(701) 483-9400
(701) 483-9398
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
202
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19833
BLUE CROSS
ND
05
—
52263
—
ND
Enumeration date
10/12/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us