Long, Christine Marie
Long, Christine Marie is an individual health care provider with primary practice located at 923 Eliza St , Green Bay WI 54301-3234. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Long, Christine Marie can be contacted via phone (920) 965-4800.Contact Information
Primary practice address
923 Eliza St
Green Bay WI 54301-3234
Phone: (920) 965-4800
Fax: (920) 965-4801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 443156 | Wisconsin |
Profile Details
| NPI number | 1417011842 |
|---|---|
| LBN Legal business name | Long, Christine Marie |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Jun 17th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417011842 | NPPES |
| Wisconsin | MEDICAID | 41147600 |
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