Long, Laura M

Long, Laura M is an individual health care provider with primary practice located at 302 W Main St , Hartford MI 49057-1008. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Long, Laura M can be contacted via phone (269) 621-3654.

Contact Information

Primary practice address
302 W Main St Hartford MI 49057-1008
Phone: (269) 621-3654
Fax: (269) 621-3534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 5303007454 Michigan

Profile Details

NPI number 1205403458
LBN Legal business name Long, Laura M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2021
Last updated Jun 7th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205403458 NPPES
Michigan Other 5303007454 PHARMACY TECHNICIAN LICENSE

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