Healthcare Provider Details

I. General information

NPI: 1740305457
Provider Name (Legal Business Name): CLIFF R HAIGHT DC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16136 ST RT 170
CALCUTTA OH
43920
US

IV. Provider business mailing address

PO BOX 363 BILLING AND PAYMENTS
TORONTO OH
43964
US

V. Phone/Fax

Practice location:
  • Phone: 330-385-1611
  • Fax: 330-385-8741
Mailing address:
  • Phone: 330-385-1611
  • Fax: 330-385-8741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number10646
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number82
License Number StateOH

VIII. Authorized Official

Name: DR. CLIFF R HAIGHT
Title or Position: PRESIDENT
Credential: DC
Phone: 330-385-1611