Provider Demographics
NPI:1699535872
Name:LONG NECK CHIROPRACTIC HEALTH CENTER
Entity type:Organization
Organization Name:LONG NECK CHIROPRACTIC HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:302-945-4575
Mailing Address - Street 1:32783 LONG NECK RD UNIT 1
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-6692
Mailing Address - Country:US
Mailing Address - Phone:302-945-4575
Mailing Address - Fax:888-945-8260
Practice Address - Street 1:32783 LONG NECK RD UNIT 1
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-6692
Practice Address - Country:US
Practice Address - Phone:302-945-4575
Practice Address - Fax:888-945-8260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty