Higginbotham, Raphael John
Higginbotham, Raphael John is an individual health care provider with primary practice located at 927 E Prudhomme St , Opelousas LA 70570-8240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Higginbotham, Raphael John can be contacted via phone (337) 594-8381.Contact Information
Primary practice address
927 E Prudhomme St
Opelousas LA 70570-8240
Phone: (337) 594-8381
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 025644 | Louisiana |
Profile Details
| NPI number | 1477507531 |
|---|---|
| LBN Legal business name | Higginbotham, Raphael John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Jul 13th, 2026 - about 3 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 | 1477507531 | NPPES |
| Louisiana | MEDICAID | 04333 |
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