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Contact Information

MICHAEL LONG
9114 BLUE JUG LNDG
BURKE, VA22015-2107
 Phone: 703-408-7570
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Research

261QR1100X
Indicates primary specialty

NPI Profile & details for MICHAEL LONG · (Male)

NPI # 1366372120
Status Active
Credentials
Entity Individual
Enumeration date 05/21/2026
Last updated 05/21/2026 - About 3 weeks ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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