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
Fax: (253) 862-0448
Website:

Health care specialties

SpecialtyCodeLicense #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 11 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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