Long, Mary Jane

Long, Mary Jane is an sole proprietor health care provider with primary practice located at Mamc 9040 Jackson Ave Attn: Mchj-Clq-C, Tacoma WA 98431-0001. She recently has only one registered license in Nursing Service Providers / Administrator, which is considered as her primary health care specialty. Long, Mary Jane can be contacted via phone (253) 224-3815.

Contact Information

Primary practice address
Mamc 9040 Jackson Ave Attn: Mchj-Clq-C Tacoma WA 98431-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Administrator 163WA2000X 60497344 Washington

Profile Details

NPI number 1508219734
LBN Legal business name Long, Mary Jane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2016
Last updated Jul 23rd, 2016 - about 10 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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