Higgins, Dane A
Higgins, Dane A is an individual health care provider with primary practice located at 2440 N Litchfield Rd Ste 200 , Goodyear AZ 85395-1664. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Higgins, Dane A can be contacted via phone (623) 977-6860.Contact Information
Primary practice address
2440 N Litchfield Rd Ste 200
Goodyear AZ 85395-1664
Phone: (623) 977-6860
Fax: (623) 977-2016
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3656 | Arizona |
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 3656 | Arizona |
Profile Details
NPI number | 1023089034 |
---|---|
LBN Legal business name | Higgins, Dane A |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 28th, 2006 |
Last updated | Feb 26th, 2024 - about 7 months 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 | 1023089034 | NPPES |
Arizona | MEDICAID | 360382 | |
Arizona | MEDICAID | 874322 |
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