Higginbotham, Victoria

Higginbotham, Victoria is an individual health care provider with primary practice located at 25 Ikea Dr , Westampton NJ 08060-5115. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Higginbotham, Victoria can be contacted via phone (609) 267-9339.

Contact Information

Primary practice address
25 Ikea Dr Westampton NJ 08060-5115
Phone: (609) 267-9339
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1467832543
LBN Legal business name Higginbotham, Victoria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2015
Last updated Jun 4th, 2015 - about 9 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 1467832543 NPPES
New Jersey MEDICAID 210634494

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