Long, Bethany

Long, Bethany is an individual health care provider with primary practice located at 4123 Martin Rd Ste 102 , Commerce Township MI 48390-4151. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Long, Bethany can be contacted via phone (248) 366-3700.

Contact Information

Primary practice address
4123 Martin Rd Ste 102 Commerce Township MI 48390-4151
Phone: (248) 366-3700
Fax: (248) 366-1038
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601013144 Michigan

Profile Details

NPI number 1114743002
LBN Legal business name Long, Bethany
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2024
Last updated Aug 24th, 2026 - about 2 months 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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