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
Fax: (501) 217-9819
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528012820 NPPES
Arkansas MEDICAID 149923001
Arkansas Other 1104084599

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