Provider Demographics
NPI:1467755751
Name:HIGH POINT CHIROPRACTIC WELLNESS PC
Entity Type:Organization
Organization Name:HIGH POINT CHIROPRACTIC WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERCHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:IRUM
Authorized Official - Middle Name:
Authorized Official - Last Name:TAHIR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:315-214-8100
Mailing Address - Street 1:1732 W GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13204-1902
Mailing Address - Country:US
Mailing Address - Phone:315-214-8100
Mailing Address - Fax:315-218-7689
Practice Address - Street 1:1732 W GENESEE ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13204-1902
Practice Address - Country:US
Practice Address - Phone:315-214-8100
Practice Address - Fax:315-218-7689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-08
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011407111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty