Long, Melissa M.

Long, Melissa M. is an sole proprietor health care provider with primary practice located at 2509 County Highway I , Chippewa Falls WI 54729-2785. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Long, Melissa M. can be contacted via phone (715) 717-7455.

Contact Information

Primary practice address
2509 County Highway I Chippewa Falls WI 54729-2785
Fax:
Website:

Profile Details

NPI number 1821283615
LBN Legal business name Long, Melissa M.
Credentials M.S., CCC/SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2007
Last updated Jan 3rd, 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 1821283615 NPPES
Wisconsin MEDICAID 42774300

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