MEDICARE: DEBORAH ANN HIGER

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	G42167	CA
2	207P00000X	Emergency Medicine Physician	G42167	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080089739	OTHER	CA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	240009	OTHER	OR	OMAP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437245701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH ANN HIGER

Provider Business Mailing Address
First Line	:	725 PINE ST
Second Line	:
City	:	MT SHASTA
State	:	CA
Zip	:	96067-2133
Country	:	US
Telephone Number	:	530-926-4556
Fax Number	:	530-926-4532

Provider Business Practice Location Address
First Line	:	725 PINE ST
Second Line	:
City	:	MT SHASTA
State	:	CA
Zip	:	96067-2133
Country	:	US
Telephone Number	:	530-926-4556
Fax Number	:	530-926-4532

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

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	04/04/2012

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Directions to “ DEBORAH ANN HIGER ” Practice Location

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