1043597537 NPI number — JOYCE JOANNE BIGHAM M.A., L.P.C., N.C.C.

Table of content: JOYCE JOANNE BIGHAM M.A., L.P.C., N.C.C. (NPI 1043597537)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043597537 NPI number — JOYCE JOANNE BIGHAM M.A., L.P.C., N.C.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BIGHAM
Provider First Name:
JOYCE
Provider Middle Name:
JOANNE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.A., L.P.C., N.C.C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BIGHAM
Provider Other First Name:
J
Provider Other Middle Name:
JOANNE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.A., L.P.C., N.C.C.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1043597537
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/15/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 53505
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LUBBOCK
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79453-3505
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
806-789-2421
Provider Business Mailing Address Fax Number:
806-793-8291

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3405 92ND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LUBBOCK
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79423-3604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-789-2421
Provider Business Practice Location Address Fax Number:
806-793-8291
Provider Enumeration Date:
11/10/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  65605 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 289883501 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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