Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | 35076452 | OH |
NPI | 1205838232 |
---|---|
Provider Name | Gloria Christne Higgins |
First Address | Columbus, OH 43205-2654 |
Second Address | Columbus, OH 43205-2654 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 17/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2129235 | (05) | OH |
64798168 | (05) | KY |
6700177000 | (05) | WV |
C88896 | (02) | |
HI0885302 | MEDICARE (01) | OH |