Individual provider · Type 1 NPI

Jack A. Long, DC

Chiropractor · Meridian, ID

NPI number 1184792129 Active

Practice location

2893 E Green Canyon Dr
Meridian, ID 83642-9105

Fax (208) 888-3882

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIA-352 (ID)

Chiropractor: 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 interrelationship with other body systems.

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About NPI 1184792129

Jack A. Long, DC's National Provider Identifier is 1184792129, issued on Nov 30, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Meridian, ID. The record was last updated on Jul 9, 2007.