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LONG LEGACY CHIROPRACTIC NPI 1821643966


NPI Information

NPI: 1821643966
Provider Name: LONG LEGACY CHIROPRACTIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1096 EASTLAND DR N STE 300
TWIN FALLS, ID
ZIP 83301
Phone: (208) 537-7246
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LONG LEGACY CHIROPRACTIC is a chiropractor in Twin Falls, ID. The provider is 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. LONG LEGACY CHIROPRACTIC NPI is 1821643966. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1096 EASTLAND DR N STE 300
TWIN FALLS, ID
ZIP 83301-970
Phone: (208) 537-7246

The provider's authorized official is Ty Benjamin Long .
The authorized official title is Chiropractor and has the following contact phone number (208) 537-7246.

The enumeration date for this NPI number is 8/6/2019 and was last updated on 8/6/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NS0005XChiropractorSports PhysicianNo
2111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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