Higdon, Mark Lowell
Higdon, Mark Lowell is an individual health care provider with primary practice located at 19485 Old Jetton Rd Ste 100 , Cornelius NC 28031-6583. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Higdon, Mark Lowell can be contacted via phone (704) 316-5170.Contact Information
Primary practice address
19485 Old Jetton Rd Ste 100
Cornelius NC 28031-6583
Phone: (704) 316-5170
Fax: (704) 316-5172
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2014-01893 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 044938 | Georgia |
Profile Details
| NPI number | 1598857187 |
|---|---|
| LBN Legal business name | Higdon, Mark Lowell |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Oct 25th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598857187 | NPPES |
| North Carolina | MEDICAID | 1598857187 |
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