Provider Demographics
NPI:1003695404
Name:LONGVIEW INTERNATIONAL TECHNOLOGY SOLUTIONS, INC.
Entity Type:Organization
Organization Name:LONGVIEW INTERNATIONAL TECHNOLOGY SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-840-1997
Mailing Address - Street 1:12930 WORLDGATE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-6032
Mailing Address - Country:US
Mailing Address - Phone:703-657-5517
Mailing Address - Fax:
Practice Address - Street 1:12930 WORLDGATE DR STE 300
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-6032
Practice Address - Country:US
Practice Address - Phone:703-657-5517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty