Provider Demographics
NPI:1740305457
Name:CLIFF R HAIGHT DC INC
Entity type:Organization
Organization Name:CLIFF R HAIGHT DC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLIFF
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-385-1611
Mailing Address - Street 1:PO BOX 363
Mailing Address - Street 2:BILLING AND PAYMENTS
Mailing Address - City:TORONTO
Mailing Address - State:OH
Mailing Address - Zip Code:43964
Mailing Address - Country:US
Mailing Address - Phone:330-385-1611
Mailing Address - Fax:330-385-8741
Practice Address - Street 1:16136 ST RT 170
Practice Address - Street 2:
Practice Address - City:CALCUTTA
Practice Address - State:OH
Practice Address - Zip Code:43920
Practice Address - Country:US
Practice Address - Phone:330-385-1611
Practice Address - Fax:330-385-8741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH82111N00000X
CA10646111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0131835000OtherMEDICAID WV
OH0258911Medicaid
000000131367OtherANTHEM BCBS
0131835000OtherMEDICAID WV
OH0258911Medicaid