Individual
JOSEPH G LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
506 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2913
(870) 424-5853
(870) 424-5856
Mailing address
PO BOX 327, MOUNTAIN HOME, AR 72654-0327
(870) 424-5853
(870) 424-5856
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1526
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295991917
GROUP NPI
AR
05
—
137621718
—
AR
Enumeration date
08/01/2006
Last updated
01/24/2013
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