Provider Demographics
NPI:1447415310
Name:HIGH VISIBILITY LTD
Entity Type:Organization
Organization Name:HIGH VISIBILITY LTD
Other - Org Name:BERKLICH CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:BERKLICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-475-2225
Mailing Address - Street 1:1101 CAMBRIDGE SQ
Mailing Address - Street 2:STE B
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-1865
Mailing Address - Country:US
Mailing Address - Phone:770-475-2225
Mailing Address - Fax:770-664-4718
Practice Address - Street 1:1101 CAMBRIDGE SQ
Practice Address - Street 2:STE B
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-1865
Practice Address - Country:US
Practice Address - Phone:770-475-2225
Practice Address - Fax:770-664-4718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1911111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA381587178DMedicare UPIN