Provider Demographics
NPI:1437245701
Name:HIGER, DEBORAH ANN
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANN
Last Name:HIGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 PINE ST
Mailing Address - Street 2:
Mailing Address - City:MT SHASTA
Mailing Address - State:CA
Mailing Address - Zip Code:96067-2133
Mailing Address - Country:US
Mailing Address - Phone:530-926-4556
Mailing Address - Fax:530-926-4532
Practice Address - Street 1:725 PINE ST
Practice Address - Street 2:
Practice Address - City:MT SHASTA
Practice Address - State:CA
Practice Address - Zip Code:96067-2133
Practice Address - Country:US
Practice Address - Phone:530-926-4556
Practice Address - Fax:530-926-4532
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG42167207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA080089739OtherRR MEDICARE
OR240009OtherOMAP
CA00G721670Medicaid
CABO903YMedicare PIN
OR240009OtherOMAP
F44886Medicare UPIN