# LONGO CHIROPRACTIC, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467663450
- **Authorized official:** DR. STEVEN MICHAEL LONGO D.C. (PRESIDENT)
- **Authorized official phone:** (414) 421-2225

## Contact information

- **Practice address:** 8405 W FOREST HOME AVE, SUITE 101, GREENFIELD, WI 53228-3407
- **Practice address phone:** (414) 421-2225
- **Practice address fax:** (414) 421-7516
- **Mailing address:** 8405 W FOREST HOME AVE, SUITE 101, GREENFIELD, WI 53228-3407
- **Mailing address phone:** (414) 421-2225
- **Mailing address fax:** (414) 421-7516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2553-012 | WI | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 38849900 | — | WI |
