Long, Stacy Marie

Long, Stacy Marie is an individual health care provider with primary practice located at G-3100 Van Slyke , Flint MI 48551-0001. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Long, Stacy Marie can be contacted via phone (810) 835-0068.

Contact Information

Primary practice address
G-3100 Van Slyke Flint MI 48551-0001
Phone: (810) 835-0068
Fax: (810) 835-0069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1083758593
LBN Legal business name Long, Stacy Marie
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Jul 8th, 2007 - about 19 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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