Individual
SHAWN M HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
94 AUBURN ST, SUITE 106, PORTLAND, ME 04103-2141
(207) 615-6956
(207) 850-2228
Mailing address
94 AUBURN ST, SUITE 106, PORTLAND, ME 04103-2141
(207) 615-6956
(207) 850-2228
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
DO2056
ME
207Q00000X
Family Medicine Physician
DO2056
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205155611
OSTEOPATHIC WELLNESS, LLC
ME
Enumeration date
08/24/2006
Last updated
01/26/2016
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