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
Phone: (740) 277-6525
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134780174 | NPPES |
Ohio | MEDICAID | 0402685 |
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