Higgins, John

Higgins, John is an sole proprietor health care provider with primary practice located at 5345 Highway 18 W , Jackson MS 39209-9421. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Higgins, John can be contacted via phone (601) 927-0188.

Contact Information

Primary practice address
5345 Highway 18 W Jackson MS 39209-9421
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Mississippi

Profile Details

NPI number 1275245797
LBN Legal business name Higgins, John
Credentials BS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2022
Last updated Dec 15th, 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 1275245797 NPPES
Mississippi MEDICAID 02551264

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