Provider Demographics
NPI:1861518938
Name:HIGHLAND CHIROPRACTIC FAMILY CARE, INC
Entity type:Organization
Organization Name:HIGHLAND CHIROPRACTIC FAMILY CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:BRIGHAM-SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-755-5016
Mailing Address - Street 1:210 HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-2204
Mailing Address - Country:US
Mailing Address - Phone:508-755-5016
Mailing Address - Fax:508-753-2514
Practice Address - Street 1:210 HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-2204
Practice Address - Country:US
Practice Address - Phone:508-755-5016
Practice Address - Fax:508-753-2514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA273111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1106995OtherAETNA HEALTH CARE
MAY39902OtherBCBS MASSACHUSETTS
MA351460OtherHARVARD PILGRIM
MA56178OtherFALLON COMMUNITY HEALTH P
MA1697340Medicaid
MA6772997OtherCIGNA
MA0002231Medicare PIN