Provider Demographics
NPI:1366709024
Name:HIGHTOWER FAMILY CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:HIGHTOWER FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:K
Authorized Official - Last Name:HIGHTOWER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:251-943-8511
Mailing Address - Street 1:1115A N MCKENZIE ST
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-3550
Mailing Address - Country:US
Mailing Address - Phone:251-943-8511
Mailing Address - Fax:251-943-8520
Practice Address - Street 1:1115A N MCKENZIE ST
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-3550
Practice Address - Country:US
Practice Address - Phone:251-943-8511
Practice Address - Fax:251-943-8520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1892111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU76109Medicare UPIN
AL000040668 H16Medicare PIN