Longo, Kyle M
Longo, Kyle M is an individual health care provider with primary practice located at 2269 Wilma Rudolph Blvd Ste 107 , Clarksville TN 37040-8416. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Longo, Kyle M can be contacted via phone (931) 905-1720.Contact Information
Primary practice address
2269 Wilma Rudolph Blvd Ste 107
Clarksville TN 37040-8416
Phone: (931) 905-1720
Fax: (931) 905-1721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2132 | Tennessee |
Profile Details
| NPI number | 1003909128 |
|---|---|
| LBN Legal business name | Longo, Kyle M |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Sep 29th, 2011 - about 15 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 | 1003909128 | NPPES |
| Tennessee | Other | 4218740 | BCBS PROVIDER# |
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