Higginbotham, Linda

Higginbotham, Linda is an individual health care provider with primary practice located at 211 N Eddy St , South Bend IN 46617-2808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Higginbotham, Linda can be contacted via phone (574) 237-9231.

Contact Information

Primary practice address
211 N Eddy St South Bend IN 46617-2808
Phone: (574) 237-9231
Fax: (574) 204-6355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X LH044277 Michigan
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01069131A Indiana
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G53699 California

Profile Details

NPI number 1134189053
LBN Legal business name Higginbotham, Linda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jun 1st, 2018 - about 8 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 1134189053 NPPES
Indiana Other 000000699107 ANTHEM PROVIDER NUMBER
Indiana Other 000000733964 ANTHEM PROVIDER NUMBER
Indiana Other 50842 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 3093970 ANTHEM PROVIDER NUMBER
Indiana Other 070H263730 ANTHEM PROVIDER NUMBER
Indiana Other 447756 ANTHEM PROVIDER NUMBER
Indiana Other 142732 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 201035670 ANTHEM PROVIDER NUMBER

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