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Contact Information

ROBERT G LONG, LMP
1899 -116TH AVE NE
BELLEVUE, WA98004
 Phone: 425-451-0404
 Fax: 425-462-8919
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for ROBERT G LONG · (Male)

NPI Number 1649283334
Status Active
Credentials LMP (Licensed Medical Practitioner)
Entity Individual
Enumeration date 08/14/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MA00017176
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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