Higinbothom, Bruce Carter

Higinbothom, Bruce Carter is an individual health care provider with primary practice located at 445 Porterfield Hwy Suite A, Abingdon VA 24210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Higinbothom, Bruce Carter can be contacted via phone (276) 628-3144.

Contact Information

Primary practice address
445 Porterfield Hwy Suite A Abingdon VA 24210
Phone: (276) 628-3144
Fax: (276) 628-1571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101054741 Virginia

Profile Details

NPI number 1336181593
LBN Legal business name Higinbothom, Bruce Carter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Aug 12th, 2008 - about 18 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 1336181593 NPPES
Virginia MEDICAID 005605008
Virginia MEDICAID 007610432

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