Long, Monty Cornell
Long, Monty Cornell is an individual health care provider with primary practice located at 86 Frontage Rd. , Dunlap TN 37327. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Long, Monty Cornell can be contacted via phone (423) 949-5599.Contact Information
Primary practice address
86 Frontage Rd.
Dunlap TN 37327
Phone: (423) 949-5599
Fax: (423) 949-5585
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1810 | Tennessee |
Profile Details
| NPI number | 1144395062 |
|---|---|
| LBN Legal business name | Long, Monty Cornell |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144395062 | NPPES |
| Tennessee | Other | 4074923 | BCBST # |
| Tennessee | Other | 7003292 | BCBST # |
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