Provider Demographics
NPI:1710385406
Name:BILL HIGGINBOTHAM INC
Entity Type:Organization
Organization Name:BILL HIGGINBOTHAM INC
Other - Org Name:HIGGINBOTHAM CHIROPRACTIC PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:K
Authorized Official - Last Name:KILCHRIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-572-8164
Mailing Address - Street 1:116A FOREMAN DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-6208
Mailing Address - Country:US
Mailing Address - Phone:337-981-0206
Mailing Address - Fax:337-981-0211
Practice Address - Street 1:116A FOREMAN DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-6208
Practice Address - Country:US
Practice Address - Phone:337-981-0206
Practice Address - Fax:337-981-0211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-11
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1252111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty