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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 Number | 1821643966 |
| LBN Legal business name | LONG LEGACY CHIROPRACTIC |
| Authorized official | TY LONG - (CHIROPRACTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/06/2019 |
| Last updated | 08/06/2019 - About 7 years ago |
| Identifiers | n/a |
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LONG LEGACY CHIROPRACTIC
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LONG LEGACY CHIROPRACTIC