Longstreet, Maureen

Longstreet, Maureen is an individual health care provider with primary practice located at 1450 Belle Ave Ste 300 , Lakewood OH 44107-4202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Longstreet, Maureen can be contacted via phone (216) 529-8683.

Contact Information

Primary practice address
1450 Belle Ave Ste 300 Lakewood OH 44107-4202
Phone: (216) 529-8683
Fax: (216) 529-7048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN260466 Ohio

Profile Details

NPI number 1801918446
LBN Legal business name Longstreet, Maureen
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Sep 3rd, 2008 - about 18 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 1801918446 NPPES
Ohio Other 000000508074 ANTHEM BCBS
Ohio MEDICAID 2727848 ANTHEM BCBS

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