Provider Demographics
NPI:1871833962
Name:HIGGINS, JOEL PHILLIP (DC)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:PHILLIP
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 N PLUM ST
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67502-8423
Mailing Address - Country:US
Mailing Address - Phone:620-662-9272
Mailing Address - Fax:
Practice Address - Street 1:2300 N PLUM ST
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-8423
Practice Address - Country:US
Practice Address - Phone:620-662-9272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-26
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSC-3649111N00000X
KS01-05563111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor