Provider Demographics
NPI:1386411585
Name:HIGHLANDS CHIROPRACTIC & WELLNESS
Entity type:Organization
Organization Name:HIGHLANDS CHIROPRACTIC & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:651-261-4553
Mailing Address - Street 1:PO BOX 441
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS
Mailing Address - State:NC
Mailing Address - Zip Code:28741-0441
Mailing Address - Country:US
Mailing Address - Phone:828-482-7402
Mailing Address - Fax:
Practice Address - Street 1:2655 DILLARD RD
Practice Address - Street 2:
Practice Address - City:HIGHLANDS
Practice Address - State:NC
Practice Address - Zip Code:28741
Practice Address - Country:US
Practice Address - Phone:828-482-7402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty