Long, Graham W
Long, Graham W is an individual health care provider with primary practice located at 525 E Big Beaver Rd Suite 125, Troy MI 48083-1364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Long, Graham W can be contacted via phone (248) 688-9860.Contact Information
Primary practice address
525 E Big Beaver Rd Suite 125
Troy MI 48083-1364
Phone: (248) 688-9860
Fax: (248) 688-9861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 4301051392 | Michigan |
Profile Details
| NPI number | 1932179132 |
|---|---|
| LBN Legal business name | Long, Graham W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Apr 2nd, 2021 - about 3 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 | 1932179132 | NPPES |
| Michigan | MEDICAID | 104647160 |
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