Higgs-Coulthard, Charles

Higgs-Coulthard, Charles is an individual health care provider with primary practice located at 611 E Douglas Rd Ste 406 , Mishawaka IN 46545-1468. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Higgs-Coulthard, Charles can be contacted via phone (574) 335-6580.

Contact Information

Primary practice address
611 E Douglas Rd Ste 406 Mishawaka IN 46545-1468
Phone: (574) 335-6580
Fax: (574) 335-0796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01042925 Indiana

Profile Details

NPI number 1447205448
LBN Legal business name Higgs-Coulthard, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Oct 25th, 2023 - about 2 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 1447205448 NPPES
Indiana MEDICAID 100325690A

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