Long, Deandre

Long, Deandre is an individual health care provider with primary practice located at 574 Glendora Ave , Akron OH 44320-1965. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Long, Deandre can be contacted via phone (330) 415-2202.

Contact Information

Primary practice address
574 Glendora Ave Akron OH 44320-1965
Phone: (330) 415-2202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1801509096
LBN Legal business name Long, Deandre
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2023
Last updated Jan 3rd, 2023 - about last year

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 1801509096 NPPES
Ohio MEDICAID 78689695

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