Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK A LONG, D.C.
Active Sole ProprietorDR. JACK A LONG, D.C. is a Chiropractor healthcare provider located in MERIDIAN, Idaho. NPI 1184792129 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · MERIDIAN, ID
Registration Details
- NPI Number
- 1184792129
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2006 (19.69452086241 yrs)
- Last Updated
- Jul 9, 2007
- License
-
CHIA-352 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2893 E GREEN CANYON DRMERIDIAN, ID, 836429105Browse ID providers · Browse ZIP 83642
- Phone
- 2088506511
- Fax
- 2088883882
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in MERIDIAN, ID
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD PAUL SAMPSON | R.N.,D.C.,F.I.A.M.A. | 1174517858 |
| DR. JASON D HAYCOCK | D.C | 1841271517 |
| DR. JOHN E WHALEN | D.C. | 1144208281 |
| JUSTIN DUDLEY GRIFFIN | DC | 1245201524 |
| DR. TRAVIS R CUNNINGHAM | D.C. | 1043271265 |
| DR. MICHAEL JOSHUA MOORHOUSE | D.C. | 1104855691 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.