Higdon, Amanda S

Higdon, Amanda S is an individual health care provider with primary practice located at 1403 Andrea St , Bowling Green KY 42104-3335. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Higdon, Amanda S can be contacted via phone (270) 781-4909.

Contact Information

Primary practice address
1403 Andrea St Bowling Green KY 42104-3335
Phone: (270) 781-4909
Fax: (270) 843-9678
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1706DT Kentucky

Profile Details

NPI number 1659571529
LBN Legal business name Higdon, Amanda S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2007
Last updated Mar 29th, 2022 - about 4 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 1659571529 NPPES
Kentucky Other 000000530061 ANTHEM BCBS
Kentucky Other 49437 ANTHEM BCBS
Kentucky MEDICAID 7100023100 ANTHEM BCBS
Kentucky Other KY1706 ANTHEM BCBS

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