Dr. Jack A Long is a Meridian, Idaho based male chiropractor who is specialized as General Chiropractor. Active license number of Dr. Jack A Long as General Chiropractor is CHIA-352 in Idaho. Dr. Jack A Long is qualified as 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.
Complete Profile:
Dr. Jack A Long speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Gender:
Male
Practice Address:
2893 E Green Canyon Dr, Meridian, Idaho, 83642-9105
Phone:
208-850-6511
Fax:
208-888-3882
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1184792129
NPI Enumeration Date:
30 Nov, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jack A Long are as mentioned below.
License Number
Specialization
State
Status
CHIA-352
Chiropractor
Idaho
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jack A Long such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0025046
Medicaid
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2893 E Green Canyon Dr, Meridian, Idaho
Zip:
83642-9105
Phone Number:
208-850-6511
Fax Number:
208-888-3882
Patients can reach Dr. Jack A Long at 2893 E Green Canyon Dr, Meridian, Idaho or can call to book an appointment on 208-850-6511. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.