Doctor Name: | STEVE HIGGINS |
NPI Number: | 1437378510 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 425 7th St Nw Cass Lake, MN - 566333360 |
Business Phone Number: | 2183353256 |
Business Fax Number: | |
Mailing Address: | Po Box 1411, WALKER |
State: | MN |
Postal Code: | 564841411 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247ZC0005X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Pathology |
Taxonomy Specialization: | Clinical Laboratory Director, Non-physician |
Taxonomy Definition: | An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |