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NPI Profile for CASEY J LONG in WAUSAU, WI.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Chiropractor |
111N00000X | 35 | Chiropractic | |
Sports Physician |
111NS0005X | 35 | Chiropractic |
| NPI # | 1174812473 |
|
| Status | Active | |
| Credentials | D.C. (Doctor of Chiropractic) | |
| Entity | Individual | |
| Enumeration date | 04/07/2011 | |
| Last updated | 07/13/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CASEY J LONG
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CASEY J LONG, D.C.