Provider Demographics
NPI:1396277299
Name:HIGHLANDER PHYSICAL THERAPY & SPORTS CHIROPRACTIC LLC
Entity type:Organization
Organization Name:HIGHLANDER PHYSICAL THERAPY & SPORTS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BABITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-214-4935
Mailing Address - Street 1:PO BOX 820
Mailing Address - Street 2:
Mailing Address - City:WEST MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07480-0820
Mailing Address - Country:US
Mailing Address - Phone:973-214-4935
Mailing Address - Fax:973-545-2359
Practice Address - Street 1:2024 MACOPIN RD
Practice Address - Street 2:SUITE E
Practice Address - City:WEST MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07480-1900
Practice Address - Country:US
Practice Address - Phone:973-214-4935
Practice Address - Fax:973-545-2359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-30
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00572200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty