Long, Marge

Long, Marge is an individual health care provider with primary practice located at 603 37Th St S , Birmingham AL 35222-3203. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Long, Marge can be contacted via phone (205) 470-3109.

Contact Information

Primary practice address
603 37Th St S Birmingham AL 35222-3203
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X CG60768436 Washington

Profile Details

NPI number 1376072405
LBN Legal business name Long, Marge
Credentials C3618-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2017
Last updated Feb 25th, 2022 - about 4 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 1376072405 NPPES
Washington Other CG60768436 WA DOH

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