Provider Demographics
NPI:1073580213
Name:HIGHTOWER, RICHARD K (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:K
Last Name:HIGHTOWER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 N MCKENZIE ST
Mailing Address - Street 2:A
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 1:1115 N MCKENZIE ST
Practice Address - Street 2:A
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-07
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1892111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU76109Medicare UPIN
AL000040668 H16Medicare ID - Type UnspecifiedMEDICARE