Provider Demographics
NPI:1649365040
Name:HIGGINS, GROVE LAWRENCE III (DC)
Entity type:Individual
Prefix:DR
First Name:GROVE
Middle Name:LAWRENCE
Last Name:HIGGINS
Suffix:III
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 1:5610 MOLLY CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80908-5651
Mailing Address - Country:US
Mailing Address - Phone:719-225-4949
Mailing Address - Fax:
Practice Address - Street 1:4239 N NEVADA AVE STE 103
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-4376
Practice Address - Country:US
Practice Address - Phone:719-225-4949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5848111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor