Healthcare Provider Details

I. General information

NPI: 1912179912
Provider Name (Legal Business Name): LONG NECK CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2008
Last Update Date: 05/17/2024
Certification Date: 05/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32783 LONG NECK RD UNIT 1
MILLSBORO DE
19966-6692
US

IV. Provider business mailing address

98 RUDDER RD UNIT 1
MILLSBORO DE
19966-6665
US

V. Phone/Fax

Practice location:
  • Phone: 29-454-5753
  • Fax: 888-945-8260
Mailing address:
  • Phone: 302-945-4575
  • Fax: 302-945-1910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberF1-000249
License Number StateDE

VIII. Authorized Official

Name: DR. CHRISTOPHER WILLIAM BALDT
Title or Position: OWNER/PRESIDENT
Credential: DC
Phone: 302-945-4575