Long, Racheal Marie
Long, Racheal Marie is an individual health care provider with primary practice located at 2133 Pepperrell St Bldg 3352 , Lackland Afb TX 78236-5313. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Long, Racheal Marie can be contacted via phone (210) 292-9053.Contact Information
Primary practice address
2133 Pepperrell St Bldg 3352
Lackland Afb TX 78236-5313
Phone: (210) 292-9053
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DEN.00205197 | Colorado |
Profile Details
| NPI number | 1295474500 |
|---|---|
| LBN Legal business name | Long, Racheal Marie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2022 |
| Last updated | May 13th, 2024 - about last year |
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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