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Contact Information

CHARLES HIGGINS JR, RD CSR
1601 E HIGHLAND AVE APT 1082
PHOENIX, AZ85016-0609
 Phone: 716-425-2764
 Fax: 602-840-4445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for CHARLES HIGGINS JR · (Male)

NPI Number 1285143115
Status Active
Credentials RD CSR
Entity Individual
Enumeration date 09/22/2017
Last updated 04/12/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 1081333
  • AZ Other 1081333 RD CSR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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