Active NPIIndividual provider

Bonnie L Longley, ATC, EMT, CSCS

Specialist/Technologist, Athletic Trainer in Fairfield, Connecticut

NPI Number1720036775
Practice location
2119 Post RD, Fairfield, CT 06824-5657
Fax
203-256-9217
Last updated
May 20, 2008

Bonnie L Longley is a Specialist/Technologist, Athletic Trainer based in Fairfield, CT. Bonnie L Longley practices in Fairfield, CT and has the professional credentials of ATC, EMT, CSCS. The NPI Number for Bonnie L Longley is 1720036775. The current practice location address for Bonnie L Longley is 2119 Post RD, Fairfield, CT 06824-5657 and can be reached out via phone at 203-259-7177 and via fax at 203-256-9217.

Provider Profile Details

NPI Number
1720036775
Provider Name
Bonnie L Longley
Credential
ATC, EMT, CSCS
Provider Entity Type
Individual
Gender
Female
Address
2119 Post RD, Fairfield, CT 06824-5657
Phone Number
203-259-7177
Fax Number
203-256-9217
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
May 4, 2006
Last Update Date
May 20, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
2119 Post RD
Fairfield, CT 06824-5657
Zip
06824-5657
Phone Number
203-259-7177
Fax Number
203-256-9217
Fairfield, CT 06824Get directions →

Provider Business Mailing Address Details

Address
2119 Post RD
Fairfield, CT 06824-5657
City
Fairfield
State
CT
Zip
06824-5657
Phone Number
203-259-7177
Fax Number
203-256-9217

License Information

Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bonnie L Longley, ATC, EMT, CSCS?

The NPI number of Bonnie L Longley, ATC, EMT, CSCS is 1720036775. It was assigned on May 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Bonnie L Longley, ATC, EMT, CSCS?

Bonnie L Longley, ATC, EMT, CSCS is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).

Where does Bonnie L Longley, ATC, EMT, CSCS practice?

The practice location is 2119 Post RD, Fairfield, CT 06824-5657. The office can be reached at 203-259-7177 (phone) or 203-256-9217 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720036775 directly on the NPPES registry website.

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