| Joseph Long Dc Pa | |
|
506 Hospital Drive Mountain Home AR 72653-2913 | |
| (870) 424-5853 | |
| (870) 424-5856 |
| Full Name | Joseph Long Dc Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 506 Hospital Drive, Mountain Home, Arkansas |
| Authorized Official Name and Position | Joseph G Long (CHIROPRACTOR) |
| Authorized Official Contact | 8704255853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Long Dc Pa 506 Hospital Drive Mountain Home AR 72653-2913 Ph: (870) 424-5853 | Joseph Long Dc Pa 506 Hospital Drive Mountain Home AR 72653-2913 Ph: (870) 424-5853 |
| NPI Number | 1295991917 |
|---|---|
| Provider Enumeration Date | 08/01/2008 |
| Last Update Date | 10/04/2022 |
| Medicare PECOS PAC ID | 9739342445 |
|---|---|
| Medicare Enrollment ID | O20120516000435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295991917 | NPI | - | NPPES |
| 137621718 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Joseph Gordon Long |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629085931 PECOS PAC ID: 2264484559 Enrollment ID: I20080723000353 |
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