Long, Miranda C

Long, Miranda C is an individual health care provider with primary practice located at 101 E Miller Rd , Sterling IL 61081-1252. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Long, Miranda C can be contacted via phone (815) 625-4790.

Contact Information

Primary practice address
101 E Miller Rd Sterling IL 61081-1252
Phone: (815) 625-4790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 085.006398 Illinois

Profile Details

NPI number 1245742352
LBN Legal business name Long, Miranda C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2017
Last updated Oct 30th, 2017 - about 9 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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