Higgs-Coulthard, Charles
Higgs-Coulthard, Charles is an individual health care provider with primary practice located at 611 E Douglas Rd Ste 406 , Mishawaka IN 46545-1468. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Higgs-Coulthard, Charles can be contacted via phone (574) 335-6580.Contact Information
Primary practice address
611 E Douglas Rd Ste 406
Mishawaka IN 46545-1468
Phone: (574) 335-6580
Fax: (574) 335-0796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01042925 | Indiana |
Profile Details
| NPI number | 1447205448 |
|---|---|
| LBN Legal business name | Higgs-Coulthard, Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Oct 25th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447205448 | NPPES |
| Indiana | MEDICAID | 100325690A |
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