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Dr. Jack A Long, DC
Chiropractor in Meridian, Idaho
NPI 1184792129

Jack A Long is a Chiropractor based in Meridian, ID. Jack A Long practices in Meridian, ID and has the professional credentials of DC. The NPI Number for Jack A Long is 1184792129 and holds a License No. CHIA-352 (Idaho).

The current practice location address for Jack A Long is 2893 E Green Canyon Dr, Meridian, ID and can be reached out via phone at 208-850-6511 and via fax at 208-888-3882.

Location: 2893 E Green Canyon Dr, Meridian, ID, 83642-9105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184792129
Provider Name
Jack A Long
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2893 E Green Canyon Dr, Meridian, ID, 83642-9105
Phone Number
208-850-6511
Fax Number
208-888-3882
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0025046 05 ID
institution
Provider Business Practice Location Address Details
Address
2893 E Green Canyon Dr
City
Meridian
State
Idaho
Zip
83642-9105
Phone Number
208-850-6511
Fax Number
208-888-3882
person
Provider Business Mailing Address Details
Address
2893 E Green Canyon Dr
City
Meridian
State
Idaho
Zip
83642-9105
Phone Number
208-850-6511
Fax Number
208-888-3882
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHIA-352 (Idaho)
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 interrelationship with other body systems.
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