Long, Mariah J

Long, Mariah J is an individual health care provider with primary practice located at 1320 Mercy Dr Nw , Canton OH 44708-2614. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Long, Mariah J can be contacted via phone (330) 489-1074.

Contact Information

Primary practice address
1320 Mercy Dr Nw Canton OH 44708-2614
Phone: (330) 489-1074
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN.CNP.0027706 Ohio

Profile Details

NPI number 1477141430
LBN Legal business name Long, Mariah J
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2021
Last updated Feb 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477141430 NPPES
Other 1477141430 ACUTE CARE

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