Jack A Long is a Chiropractor in Meridian, Idaho. Jack A Long practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jack A Long is 1184792129. The last update date is 2007-07-09.
Jack A Long's current location address is 2893 E Green Canyon Dr, Meridian, Idaho. You can contact this provider via phone number 2088506511 and fax number 2088883882. The mailing address for Jack A Long is 2893 E Green Canyon Dr, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack A Long |
|---|---|
| Address | 2893 E Green Canyon Dr, Meridian, Idaho |
| Phone Number | 2088506511 |
| Fax Number | 2088883882 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1184792129 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2893 E Green Canyon Dr |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836429105 |
| Phone Number | 2088506511 |
| Fax Number | 2088883882 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CHIA-352 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25046 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jack A Long by the Centers for Medicare & Medicaid Services?
The Jack A Long has been assigned the NPI (National Provider Identifier) 1184792129 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jack A Long's facilities are situated?
The facilities of Jack A Long are physically located at the following address: 2893 E Green Canyon Dr, Meridian, ID, 836429105.
What is Jack A Long's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jack A Long is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184792129 to Jack A Long?
The Centers for Medicare & Medicaid Services originally issued the 1184792129 to Jack A Long on 2006-11-30.
When was the Jack A Long's information last updated?
The Jack A Long's information was last updated on 2007-07-09.
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