Longo, Michelene M

Longo, Michelene M is an individual health care provider with primary practice located at 991 Main St , East Hartford CT 06108-2274. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Longo, Michelene M can be contacted via phone (860) 528-3238.

Contact Information

Primary practice address
991 Main St East Hartford CT 06108-2274
Fax: (860) 528-3267
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000834 Connecticut

Profile Details

NPI number 1104263284
LBN Legal business name Longo, Michelene M
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2013
Last updated May 29th, 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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