Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 3546 | CO |
NPI | 1356451397 |
---|---|
Provider Name | Dr. Christopher Louis Higgins |
First Address | Thornton, CO 80241-3918 |
Second Address | Westminster, CO 80234-4223 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 11/04/2008 |