Provider Demographics
NPI:1285917104
Name:HIGHLAND NEUROLOGY & INJURY ASSOCIATES, PSC
Entity type:Organization
Organization Name:HIGHLAND NEUROLOGY & INJURY ASSOCIATES, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHESSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-354-0292
Mailing Address - Street 1:2241 HIGHVIEW CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:40008-7520
Mailing Address - Country:US
Mailing Address - Phone:502-354-0292
Mailing Address - Fax:502-354-0332
Practice Address - Street 1:4123 TAYLOR BLVD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40215-2341
Practice Address - Country:US
Practice Address - Phone:502-363-7172
Practice Address - Fax:502-363-7174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY25368207T00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty