Long, Michael J
Long, Michael J is an sole proprietor health care provider with primary practice located at 11219 Financial Centre Pkwy Suite 215, Little Rock AR 72211-3800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Long, Michael J can be contacted via phone (501) 225-8346.Contact Information
Primary practice address
11219 Financial Centre Pkwy Suite 215
Little Rock AR 72211-3800
Phone: (501) 225-8346
Fax: (501) 217-9819
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | E-2576 | Arkansas |
Profile Details
| NPI number | 1528012820 |
|---|---|
| LBN Legal business name | Long, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2006 |
| Last updated | Oct 21st, 2008 - about 16 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 | 1528012820 | NPPES |
| Arkansas | MEDICAID | 149923001 | |
| Arkansas | Other | 1104084599 |
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