Provider Demographics
NPI:1265665905
Name:HIGH MOUNTAIN FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:HIGH MOUNTAIN FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCHUGH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-304-1910
Mailing Address - Street 1:5 SICOMAC RD
Mailing Address - Street 2:
Mailing Address - City:NORTH HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-2972
Mailing Address - Country:US
Mailing Address - Phone:973-304-1910
Mailing Address - Fax:973-304-1912
Practice Address - Street 1:5 SICOMAC RD
Practice Address - Street 2:
Practice Address - City:NORTH HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-2972
Practice Address - Country:US
Practice Address - Phone:973-304-1910
Practice Address - Fax:973-304-1912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-28
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00448200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty