Long, Bruce D

Long, Bruce D is an individual health care provider with primary practice located at 1730 W 25Th St , Cleveland OH 44113-3108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Long, Bruce D can be contacted via phone (216) 363-2402.

Contact Information

Primary practice address
1730 W 25Th St Cleveland OH 44113-3108
Phone: (216) 363-2402
Fax: (216) 363-2145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 045388 Ohio

Profile Details

NPI number 1366427684
LBN Legal business name Long, Bruce D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jun 24th, 2011 - about 13 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 1366427684 NPPES
Ohio MEDICAID 0630697

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