Long, Michael
Long, Michael is an individual health care provider with primary practice located at 2450 Riverside Ave , Minneapolis MN 55454-1450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Long, Michael can be contacted via phone (612) 672-6000.Contact Information
Primary practice address
2450 Riverside Ave
Minneapolis MN 55454-1450
Phone: (612) 672-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 34481 | Minnesota |
Profile Details
| NPI number | 1821071317 |
|---|---|
| LBN Legal business name | Long, Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Sep 28th, 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 | 1821071317 | NPPES |
| Minnesota | MEDICAID | 825714100 |
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