Higgins, Kenneth Welby
Higgins, Kenneth Welby is an sole proprietor health care provider with primary practice located at 2631 Faudree Rd Unit B , Odessa TX 79765-8530. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Higgins, Kenneth Welby can be contacted via phone (432) 563-1760.Contact Information
Primary practice address
2631 Faudree Rd Unit B
Odessa TX 79765-8530
Phone: (432) 563-1760
Fax: (432) 563-1763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12663 | Texas |
Profile Details
| NPI number | 1043372949 |
|---|---|
| LBN Legal business name | Higgins, Kenneth Welby |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1043372949 | NPPES |
| Texas | MEDICAID | 111079306 |
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