Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 3520 | NC |
NPI | 1144237611 |
---|---|
Provider Name | Noreen Therease Long |
First Address | Black Mountain, NC 28711-3043 |
Second Address | Black Mountain, NC 28711-3043 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 08/07/2007 |