Long, Robert Wayne
Long, Robert Wayne is an sole proprietor health care provider with primary practice located at 10215 214Th Ave E , Bonney Lake WA 98391-3909. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Long, Robert Wayne can be contacted via phone (253) 862-7374.Contact Information
Primary practice address
10215 214Th Ave E
Bonney Lake WA 98391-3909
Phone: (253) 862-7374
Fax: (253) 862-0448
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | CP00002606 | Washington |
Profile Details
NPI number | 1508908880 |
---|---|
LBN Legal business name | Long, Robert Wayne |
Credentials | CDP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 13th, 2007 |
Last updated | Feb 28th, 2013 - 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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