Higginbotham, Robert W

Higginbotham, Robert W is an individual health care provider with primary practice located at 3855 Broad Street Ste B, San Luis Obispo CA 93401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Higginbotham, Robert W can be contacted via phone (805) 545-8100.

Contact Information

Primary practice address
3855 Broad Street Ste B San Luis Obispo CA 93401
Phone: (805) 545-8100
Fax: (805) 545-8902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G28752 California

Profile Details

NPI number 1609878834
LBN Legal business name Higginbotham, Robert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Mar 30th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609878834 NPPES
California Other G28752 MEDICAL LICENSE NUMBER

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