Provider Demographics
NPI:1073372512
Name:HIGGS, JORDAN ABRAM (DO)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:ABRAM
Last Name:HIGGS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3045 MAJESTIC VIEW DR
Mailing Address - Street 2:
Mailing Address - City:TIMNATH
Mailing Address - State:CO
Mailing Address - Zip Code:80547-4432
Mailing Address - Country:US
Mailing Address - Phone:385-333-6606
Mailing Address - Fax:
Practice Address - Street 1:4190 CITY AVE STE 409
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-1629
Practice Address - Country:US
Practice Address - Phone:800-778-4723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program