Provider Demographics
NPI:1972040053
Name:WIGGINS & WIGGINS, LLC
Entity Type:Organization
Organization Name:WIGGINS & WIGGINS, LLC
Other - Org Name:WIGGINS MEDICAL TRANSIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:B
Authorized Official - Last Name:WIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-401-6871
Mailing Address - Street 1:PO BOX 30534
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-0009
Mailing Address - Country:US
Mailing Address - Phone:931-401-6871
Mailing Address - Fax:
Practice Address - Street 1:192 STONES MANOR CT
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-1570
Practice Address - Country:US
Practice Address - Phone:931-401-6871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-26
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN105739343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)