Provider Demographics
NPI:1427051812
Name:HIGGINS, STEVEN GALE (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:GALE
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 1:4252 N VERRADO WAY STE 203
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85396-7499
Mailing Address - Country:US
Mailing Address - Phone:623-322-5078
Mailing Address - Fax:623-322-5486
Practice Address - Street 1:4252 N VERRADO WAY STE 203
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85396-7499
Practice Address - Country:US
Practice Address - Phone:623-322-5078
Practice Address - Fax:623-322-5486
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-31
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7411111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ80206Medicare ID - Type UnspecifiedCHIROPRACTOR