Highfill, John G

Highfill, John G is an individual health care provider with primary practice located at 916 Indiana Ave Ste 110, Pueblo CO 81004-3572. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Highfill, John G can be contacted via phone (719) 566-9120.

Contact Information

Primary practice address
916 Indiana Ave Ste 110 Pueblo CO 81004-3572
Phone: (719) 566-9120
Fax: (719) 566-9121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39397 Colorado

Profile Details

NPI number 1356346548
LBN Legal business name Highfill, John G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jul 15th, 2010 - about 16 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 1356346548 NPPES
Colorado Other 200180057 TAX ID #
Colorado Other 200180057 TAX ID #
Colorado Other P00111767 TAX ID #
Colorado Other 080153127 TAX ID #
Colorado Other 95999 TAX ID #
Colorado MEDICAID 86502751 TAX ID #
Colorado Other 200180057 TAX ID #
Colorado Other HI657288 TAX ID #

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