MEDICARE: STEVEN LONG D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC 22918	CA

General Provider Information

NPI Number	:	1558457424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN LONG D.C.

Provider Business Mailing Address
First Line	:	4359 TOWN CENTER BLVD
Second Line	:	SUITE #213
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-7113
Country	:	US
Telephone Number	:	916-933-4507
Fax Number	:	916-933-4521

Provider Business Practice Location Address
First Line	:	4359 TOWN CENTER BLVD
Second Line	:	SUITE #213
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-7113
Country	:	US
Telephone Number	:	916-933-4507
Fax Number	:	916-933-4521

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	07/08/2007

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