Provider Demographics
NPI:1356226336
Name:HIGTOWER, JONATHAN RAY (DC)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:RAY
Last Name:HIGTOWER
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 1:1002 E LOVEJOY ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14206-1033
Mailing Address - Country:US
Mailing Address - Phone:716-892-8811
Mailing Address - Fax:
Practice Address - Street 1:3385 ORCHARD PARK RD STE C
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1678
Practice Address - Country:US
Practice Address - Phone:716-892-8811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013983111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor