DR. ROBERT D. LONGAN (NPI# 1336144336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336144336 |
| Entity Type | Individual |
| Full Name | DR. ROBERT D. LONGAN |
| Credential | D.C. |
| Practice Address |
441 Broadway Box 696 Imperial NE 69033-0696 |
| Practice Telephone | 3088825532 |
| Mailing Telephone | 3088825532 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2010-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 945 | NE | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 470718052-00 | 05 | |
| FED. EMPLOYER (FIN) | 47-0718052 | 01 | |
| NE | STATE EMPLOYER (SIN) | 21-5705010 | 01 |
| NE | BC/BS OF NEBRASKA | 09704 | 01 |
| Street Address |
441 BROADWAY BOX 696 |
| City | IMPERIAL |
| State | NE |
| Zip Code | 69033-0696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407264419 | Koch Chiropractic Clinic LLC | Preferred Provider Organization | 441 Broadway, Imperial, NE 69033-3162 | 2014-07-23 |
| 1871905489 | Daniel James Edward Koch | Chiropractor | 441 Broadway, Imperial, NE 69033-3162 | 2014-05-30 |
| 1801002191 | Longan Chiropractic Clinic | Chiropractor | 441 Broadway, Box 696, Imperial, NE 69033-3162 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528340114 | Barry K Marshall | Physical Therapist | 600 West 12th St., Imperial, NE 69033 | 2011-09-09 |
| 1326329061 | Robert Joseph Killorin | Occupational Therapist | 933 Grant St., Imperial, NE 69033 | 2011-09-08 |
| 1285684779 | Nicole M Havel | Physician Assistant | 600 W 12th St, Imperial, NE 69033 | 2006-05-12 |
| 1871839720 | Mathews Family Chiropractic PC | Clinic/Center | 126 West 6th Street, Imperial, NE 69033-0404 | 2012-12-21 |
| 1508887886 | Dianne Harms | Pharmacist | 1324 Broadway, Imperial, NE 69033-0597 | 2006-07-21 |
| 1003914615 | Hometown Development | Pharmacy | 1324 Broadway, Imperial, NE 69033-0597 | 2006-09-20 |
| 1225030422 | County of Chase | Ambulance | 921 Broadway, Imperial, NE 69033-3012 | 2005-06-01 |
| 1083946008 | William Morales | Skilled Nursing Facility | 340 E 12th St, Imperial, NE 69033-3108 | 2010-02-01 |
| 1003840265 | Adams Drug Inc. | Pharmacy | 513 Broadway, Imperial, NE 69033-3119 | 2006-07-11 |
| 1104061761 | Weiss Chiropractic and Acupunture | Preferred Provider Organization | 530 Broadway, Imperial, NE 69033-3119 | 2008-12-11 |
| Find all providers in zip 69033 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568953644 | Sachin Amol Narvekar | Chiropractor | 447 W Aten Rd Ste E, Imperial, CA 92251-9713 | 2018-05-23 |
| 1902298326 | Celeste A Parot | Chiropractor | 220 N Imperial Ave, Imperial, CA 92251-1265 | 2015-02-22 |
| 1043523301 | Advanced Family Chiropractic & Rehabilitation, Inc. | Chiropractor | 5207 Warren Rd, Imperial, MO 63052-1521 | 2010-07-15 |
| 1528012069 | Robert J. Vano | Chiropractor | 160 Imperial Plaza Dr, Imperial, PA 15126-9300 | 2006-05-20 |
| 1427018084 | Jay Douglas Loeb | Chiropractor | 490 Penn Lincoln Dr, Imperial, PA 15126 | 2006-03-27 |
| 1891768305 | Donald Lee Aivalotis II | Chiropractor | 7900 Steubenville Pike, Imperial, PA 15126-9139 | 2006-02-07 |
| 1871905489 | Daniel James Edward Koch | Chiropractor | 441 Broadway, Imperial, NE 69033-3162 | 2014-05-30 |
| 1740531078 | Mark Ryan Schmitz | Chiropractor | 1502 Prehistoric Hill Dr, Imperial, MO 63052-2288 | 2012-09-26 |
| 1962724203 | Imperial Chiropractic & Rehabilitation | Chiropractor | 490 Penn Lincoln Dr, Imperial, PA 15126-9781 | 2010-02-26 |
| 1720247679 | Schmitz Chiropractic, LLC | Chiropractor | 1502 Prehistoric Hill Dr, Imperial, MO 63052-2288 | 2008-06-05 |
| Find all providers in IMPERIAL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.