Individual
LINDA HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 237-9231
(574) 204-6355
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 237-9231
(574) 204-6355
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01069131A
IN
207N00000X
Dermatology Physician
G53699
CA
207N00000X
Dermatology Physician
LH044277
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000699107
ANTHEM PROVIDER NUMBER
IN
01
—
000000733964
ANTHEM BCBS PIN
IN
01
—
070H263730
BCBSM/BCN
MI
01
—
142732
GREAT LAKES HELATH PLAN
MI
05
—
201035670
—
IN
05
—
3093970
—
MI
01
—
447756
AETNA
MI
01
—
50842
OMNICARE HEALTH PLAN
MI
Enumeration date
03/24/2006
Last updated
06/01/2018
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