Furlong, Judith Anne

Furlong, Judith Anne is an individual health care provider with primary practice located at 5300 Harroun Rd #304, Sylvania OH 43560-2182. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Furlong, Judith Anne can be contacted via phone (419) 824-1100.

Contact Information

Primary practice address
5300 Harroun Rd #304 Sylvania OH 43560-2182
Fax: (419) 824-1778
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35052290 Ohio

Profile Details

NPI number 1902802804
LBN Legal business name Furlong, Judith Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Dec 18th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902802804 NPPES
Michigan MEDICAID 4114959
Michigan MEDICAID 0659747

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