Long, Randi J.

Long, Randi J. is an individual health care provider with primary practice located at 3601 W 13 Mile Road , Royal Oak MI 48073. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Long, Randi J. can be contacted via phone (248) 809-1227.

Contact Information

Primary practice address
3601 W 13 Mile Road Royal Oak MI 48073
Phone: (248) 809-1227
Fax: (248) 809-1228
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301056088 Michigan
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301056088 Michigan

Profile Details

NPI number 1003973272
LBN Legal business name Long, Randi J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jun 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003973272 NPPES
Michigan MEDICAID 3480240

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