MEDICARE: DR. JANE A. HIGGINS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	28218	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	026679	OTHER	CO	KAISER COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063457455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANE A. HIGGINS M.D.

Provider Business Mailing Address
First Line	:	HARTSHORN HEALTH SERVICE
Second Line	:	COLORADO STATE UNIVERSITY
City	:	FORT COLLINS
State	:	CO
Zip	:	80523-0001
Country	:	US
Telephone Number	:	970-491-7121
Fax Number	:	970-491-0268

Provider Business Practice Location Address
First Line	:	HARTSHORN HEALTH SERVICE
Second Line	:	COLORADO STATE UNIVERSITY
City	:	FORT COLLINS
State	:	CO
Zip	:	80523-0001
Country	:	US
Telephone Number	:	970-491-7121
Fax Number	:	970-491-0268

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	10/20/2015

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