LONGNECK MEDICAL PLLC NPI 1386072635

NPI Information

NPI: 1386072635
Provider Name: LONGNECK MEDICAL PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5623 E DUNBAR RD
MONROE, MI
ZIP 48161
Phone: (734) 241-3891
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LONGNECK MEDICAL PLLC is a family medicine in Monroe, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LONGNECK MEDICAL PLLC NPI is 1386072635. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5623 E DUNBAR RD
MONROE, MI
ZIP 48161-127
Phone: (734) 241-3891
Fax: (734) 241-0014

The provider's authorized official is Arlynne Eisner .
The authorized official title is Owner/president and has the following contact phone number (734) 241-3891.

The enumeration date for this NPI number is 10/24/2013 and was last updated on 10/24/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		4301096175	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4301096175	OTHER	MICHIGAN	STATE LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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