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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 8th, 2007 - about 19 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 1477507531 NPPES
Louisiana MEDICAID 04333

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