Provider Demographics
NPI:1669567038
Name:LONG, SHAINA HELENE (DO)
Entity type:Individual
Prefix:
First Name:SHAINA
Middle Name:HELENE
Last Name:LONG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:915 HIGHLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-6902
Mailing Address - Country:US
Mailing Address - Phone:406-414-5150
Mailing Address - Fax:406-414-5155
Practice Address - Street 1:905 HIGHLAND BLVD STE 4500
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-6903
Practice Address - Country:US
Practice Address - Phone:406-414-5150
Practice Address - Fax:406-414-5155
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2025-04-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MTMED-PHYS-LIC-83696207V00000X
SCLL39804207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology