Long, Robert Wayne

Long, Robert Wayne is an individual health care provider with primary practice located at 525 Tyler Rd , St Charles IL 60174-3305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Long, Robert Wayne can be contacted via phone (630) 584-2070.

Contact Information

Primary practice address
525 Tyler Rd St Charles IL 60174-3305
Phone: (630) 584-2070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-075581 Illinois

Profile Details

NPI number 1083985154
LBN Legal business name Long, Robert Wayne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2012
Last updated Jan 22nd, 2012 - about 12 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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