Healthcare Provider Details

I. General information

NPI: 1538665443
Provider Name (Legal Business Name): ALEXANDER CHRISTOPHER HIGGINS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2018
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 PACIFIC AVE STE 300
EVERETT WA
98201-4261
US

IV. Provider business mailing address

1100 PACIFIC AVE STE 300
EVERETT WA
98201-4261
US

V. Phone/Fax

Practice location:
  • Phone: 425-339-2433
  • Fax: 425-339-8273
Mailing address:
  • Phone: 425-339-2433
  • Fax: 425-339-8273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number1013971
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License NumberOP61565404
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: