Long, Michele

Long, Michele is an individual health care provider with primary practice located at 1600 Sheridan Dr , Lancaster OH 43130-1305. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Long, Michele can be contacted via phone (740) 277-6525.

Contact Information

Primary practice address
1600 Sheridan Dr Lancaster OH 43130-1305
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN.CNP.024906 Ohio

Profile Details

NPI number 1134780174
LBN Legal business name Long, Michele
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2019
Last updated Sep 30th, 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 1134780174 NPPES
Ohio MEDICAID 0402685

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