Long, Blaine

Long, Blaine is an individual health care provider with primary practice located at 1203 Health Professions Building Central Michigan University, Mount Pleasant MI 48859-9339. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Long, Blaine can be contacted via phone (989) 774-2805.

Contact Information

Primary practice address
1203 Health Professions Building Central Michigan University Mount Pleasant MI 48859-9339
Phone: (989) 774-2805
Fax: (989) 774-3024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2601001208 Michigan

Profile Details

NPI number 1871950113
LBN Legal business name Long, Blaine
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2016
Last updated Feb 3rd, 2016 - about 9 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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