Provider Demographics
NPI:1710398052
Name:HIGHTOWER CHIROPRACTIC AND INTEGRATED HEALTH OF SACRAMENTO, INC.
Entity type:Organization
Organization Name:HIGHTOWER CHIROPRACTIC AND INTEGRATED HEALTH OF SACRAMENTO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:HIGHTOWER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:916-691-9500
Mailing Address - Street 1:9381 E STOCKTON BLVD STE 128
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-5070
Mailing Address - Country:US
Mailing Address - Phone:916-691-9500
Mailing Address - Fax:916-691-9503
Practice Address - Street 1:9381 E STOCKTON BLVD STE 128
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-5070
Practice Address - Country:US
Practice Address - Phone:916-691-9500
Practice Address - Fax:916-691-9503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-08
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30781111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty