Provider Demographics
NPI:1629254180
Name:HEIGHTS CHIROPRACTIC CLINIC PC INC
Entity Type:Organization
Organization Name:HEIGHTS CHIROPRACTIC CLINIC PC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:L. JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:PICKENS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-256-8215
Mailing Address - Street 1:410 WICKS LN
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-4434
Mailing Address - Country:US
Mailing Address - Phone:406-256-8215
Mailing Address - Fax:406-256-8216
Practice Address - Street 1:410 WICKS LN
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-4434
Practice Address - Country:US
Practice Address - Phone:406-256-8215
Practice Address - Fax:406-256-8216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-15
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT326111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty