Provider Demographics
NPI:1629134192
Name:HIGH, ADAM J (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:J
Last Name:HIGH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 FALLS ST STE A
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-2804
Mailing Address - Country:US
Mailing Address - Phone:606-878-9300
Mailing Address - Fax:606-862-7770
Practice Address - Street 1:302 FALLS ST STE A
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-2804
Practice Address - Country:US
Practice Address - Phone:606-878-9300
Practice Address - Fax:606-862-7770
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4561111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY85002202Medicaid
KY85002202Medicaid
KY1910601Medicare ID - Type Unspecified