Provider Demographics
NPI:1356334908
Name:HIGLEY, JAMIE L (DC)
Entity type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:L
Last Name:HIGLEY
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 1:3430 ANDERSON HWY
Mailing Address - Street 2:SUITE C
Mailing Address - City:POWHATAN
Mailing Address - State:VA
Mailing Address - Zip Code:23139-5834
Mailing Address - Country:US
Mailing Address - Phone:804-598-6300
Mailing Address - Fax:804-598-8755
Practice Address - Street 1:3430 ANDERSON HWY
Practice Address - Street 2:SUITE C
Practice Address - City:POWHATAN
Practice Address - State:VA
Practice Address - Zip Code:23139-5834
Practice Address - Country:US
Practice Address - Phone:804-598-6300
Practice Address - Fax:804-598-8755
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2010-07-28
Deactivation Date:2006-03-23
Deactivation Code:
Reactivation Date:2006-03-29
Provider Licenses
StateLicense IDTaxonomies
VA0104001731111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7026087OtherAETNA
VA118548OtherANTHEM
VA541970112OtherTAX ID
VA1007349OtherASHN
VA118548OtherANTHEM
VA541970112OtherTAX ID