Higgins, Charles

Higgins, Charles is an sole proprietor health care provider with primary practice located at 1601 E Highland Ave Apt 1082 , Phoenix AZ 85016-0609. He recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Nutrition, Renal. Dietary & Nutritional Service Providers / Nutrition, Renal is his primary health care specialty. Higgins, Charles can be contacted via phone (716) 425-2764.

Contact Information

Primary practice address
1601 E Highland Ave Apt 1082 Phoenix AZ 85016-0609
Phone: (716) 425-2764
Fax: (602) 840-4445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 1081333 Arizona
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 1081333 Arizona

Profile Details

NPI number 1285143115
LBN Legal business name Higgins, Charles
Credentials RD CSR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2017
Last updated Apr 12th, 2021 - about 3 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 1285143115 NPPES
Arizona Other 1081333 RD CSR

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